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low carb zucchini alfredo in cream sauce in a skillet
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Keto Low-Carb Shrimp Alfredo

This Keto Low-Carb Creamy Garlic Shrimp Alfredo is a rich, indulgent dish that’s packed with flavor—without the carbs! Juicy, pan-seared shrimp are coated in a velvety garlic parmesan Alfredo sauce, making every bite irresistibly creamy. Served over zucchini noodles, spaghetti squash, or your favorite pasta alternative, this dish is a perfect way to enjoy a comforting, restaurant-quality meal while staying on track. Ready in under 30 minutes, it’s a quick and satisfying option for busy weeknights or an elegant low-carb dinner!
Course dinner, lunch
Cuisine American, keto
Keyword keto, keto shrimp, keto shrimp alfredo, keto zucchini noodles, low carb, shrimp zucchini noodles
Prep Time 10 minutes
Cook Time 15 minutes
zucchini rest 30 minutes
Total Time 55 minutes
Servings 5
Calories 389kcal

Ingredients

  • 2 pounds zucchini, spiralized the number of zucchini will vary based on size, this is about 4-5 zucchini
  • ¼-1 teaspoon kosher salt Adjust to suit the amount you need to dry out the zucchini.
  • 1 tablespoon olive oil
  • 1 pound shrimp peeled and deveined
  • 3-4 garlic cloves Minced
  • 2 tablespoons unsalted butter
  • ½ cup heavy cream If you prefer a lot of cream sauce, try ¾ cup
  • 4 oz cream cheese Cut into small chunks.
  • ½ cup grated Parmesan reggiano cheese
  • salt and pepper to taste
  • ¼ teaspoon red pepper flakes Optional
  • ½ -1 teaspoon Italian Seasoning Optional

Instructions

  • Line a sheet pan with paper towels. Place the zucchini noodles on the paper towels. Sprinkle with the ¼ teaspoon of salt. Allow the zucchini to sit for 30 minutes to sweat out excess water.
  • Heat a skillet on medium-high heat. Add the olive oil, shrimp, and minced garlic. Cook each side of the shrimp for 1-2 minutes until bright pink.
  • Remove the shrimp from the skillet and set aside on a plate.
  • Add the butter to the skillet on medium heat. Allow the butter to partially melt and then add the chunks of cream cheese, Parmesan reggiano, heavy cream, red pepper flakes, and salt and pepper to taste.
  • Stir continuously until the cheese has melted. The cream cheese may take some time to dissolve.
  • Add the shrimp and zucchini noodles to the pan. Stir to coat the zucchini. Cook for 3-4 minutes until the zucchini softens.

Video

Notes

Be sure to drain the excess water by following the steps noted above. This step is important because if skipped, the pan will be filled with water and create more of a soup. This also helps give the zucchini a consistency and texture that is close to pasta.
To serve using grilled shrimp, add the shrimp to a grill pan and grill on medium high heat for 3-4 minutes. Instead of adding the garlic while cooking the shrimp, add it to the pan with the butter when creating the cream sauce.

Nutrition

Calories: 389kcal | Carbohydrates: 3g | Protein: 35g | Fat: 30g