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Creamy Pesto Shrimp Alfredo with parmesan cheese and blistered tomatoes is the shrimp recipe of your dreams!

Ready in less than 10 minutes, gluten free AND low carb! Alfredo-style Creamy Pesto Shrimp Alfredo is a winner with the whole family. Serve over zucchini noodles or cauliflower rice (OR pasta if you’re not watching your carb intake)! The sauce is EVERYTHING.

Creamy Pesto Shrimp Alfredo with parmesan cheese and blistered tomatoes is the shrimp recipe of your dreams! Ready in less than 10 minutes, gluten free AND low carb! Serve over zucchini noodles or cauliflower rice

How To Make Shrimp Alfredo

Some Alfredo sauce recipes usually start with a roux, and some are based on butter/heavy cream. For the sake of keeping this recipe low carb and delicious, I went the butter/cream option, mixed with a homemade basil pesto and parmesan cheese. We added in blistered grape tomatoes to add even more flavour to the sauce, but you can leave them out if you wish!

This recipe is so easy it has only three steps to it:

  • Cook shrimp
  • Add sauce ingredients
  • Thicken

With the right quantity of each ingredient, you end up with a beautiful silky creamy pesto sauce perfect for serving over anything, really.

Creamy Pesto Shrimp Alfredo with parmesan cheese and blistered tomatoes

Low carb Alfredo

For the low carb option, serve over zucchini noodles, cauliflower rice, or any steamed veggies you have on hand. You could also use Konjac noodles!

Pasta Alfredo

Pasta of choice is linguine and fettuccini. You can also serve with penne, spaghetti, or any other pasta you like.

How do you make shrimp Alfredo pasta?

Add 2 cups cooked pasta along with 1/4 cup of reserved pasta water into the sauce. Gently mix the sauce through until combined. Add in the shrimp and serve immediately.

Creamy Pesto Shrimp Alfredo in a pan

What can I use instead of heavy cream for Alfredo sauce?

The recipe includes half and half, which is an American product made from equal parts light cream and milk. Substitute with half light cream and half 2% milk (or full fat if not worried about calories and fat counts). Alternatively, use all light cream or thickened cream.

Zoom in image of Creamy-Pesto-Shrimp-Alfredo

Love Creamy Shrimp? Try These!

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5 from 12 votes

Creamy Pesto Shrimp Alfredo

Prep Time: 5 minutes
Cook Time: 10 minutes
Total Time: 15 minutes
Servings: 4 people
Creamy Pesto Shrimp Alfredo with parmesan cheese and blistered tomatoes is the shrimp recipe of your dreams! Ready in less than 10 minutes, gluten free AND low carb! Creamy Pesto Shrimp Alfredo is a family favourite. Serve over zucchini noodles or cauliflower rice (OR pasta if you're not watching your carb intake)! The sauce is EVERYTHING.
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Ingredients 
 

  • 2 tablespoons unsalted butter
  • 1 pound jumbo shrimp tails on or off
  • 4-5 cloves garlic minced
  • 4 ounces grape tomatoes
  • 1/2 cup basil pesto
  • 1 cup half and half or heavy cream, see notes
  • 1/2 cup parmesan cheese fresh grated, divided
  • 1 pinch salt to taste
  • 1 pinch pepper to taste
  • 1 tablespoon fresh parsley or basil, chopped

Instructions 

  • Heat butter in a large skillet over medium-high heat. Add the shrimp and tomatoes, and season with salt and pepper to taste. Cook for 2 minutes, then add the garlic and cook for a further minute until shrimp starts to change colour and garlic is fragrant.
  • Reduce heat to low-medium heat. Add pesto, half & half (or heavy cream) and half of the parmesan cheese. Mix and scrape any bits off of the bottom of the pan.
  • Gently simmer for a further minute or two until shrimp is cooked, the sauce thickens slightly and the cheese has melted through. Sprinkle with parsley or basil and remaining parmesan cheese.
  • Serve immediately over pasta, rice, steamed veg, zucchini noodles or cauliflower rice.

Notes

Half and half is an American product, made from equal parts light cream and milk. Substitute with half light cream and half 2% milk (or full fat if not worried about calories and fat counts). Alternatively, use all light cream or heavy cream.
If serving with pasta: add 2 cups cooked pasta along with 1/4 cup of reserved pasta water into the sauce. Gently mix the sauce through until combined. Add in the shrimp and serve immediately.

Nutrition

Calories: 359kcal | Carbohydrates: 8g | Protein: 24g | Fat: 25g | Saturated Fat: 10g | Polyunsaturated Fat: 0.5g | Monounsaturated Fat: 3g | Trans Fat: 0.2g | Cholesterol: 179mg | Sodium: 1.174mg | Potassium: 226mg | Fiber: 1g | Sugar: 4g | Vitamin A: 1.481IU | Vitamin C: 8mg | Calcium: 271mg | Iron: 1mg

Nutrition information is automatically calculated, so should only be used as an approximation.

Tried this? Leave a comment below!
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Hey Good Food Lovers! It’s nice to see you! My name is Karina. Welcome to Cafe Delites, my beloved space for the last 10 years where my passion for food has flourished and connected millions!

5 from 12 votes

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22 Comments

  1. Elizabeth says:

    5 stars
    Oh wow i had this with some poached salmon (alternative to shrimp)
    Absolutely fantastic.i cannit wait to make it again

  2. Jen says:

    5 stars
    Loved this!! Made my own pesto – followed directions with the exception of using 1/2 cup of half and half with a 1/2 cup of skim milk.

  3. Hstew says:

    Second time making. I sauteed some cut up asparagus as well which added a nice touch to the dish. Delish over linguine

  4. Nikki says:

    5 stars
    Soooo good and sooooo easy!! Will definitely make this again! It was a huge hit. Very filling!! I added mushrooms and it was awesome! Thank you.

  5. Rena says:

    I don’t want to add the half and half, but want just the pesto part. Will that still work out?

    1. Karina says:

      Yes that should be fine

  6. Holly says:

    5 stars
    This is dish turned out fantastic. My entire family said it tasted like restaurant quality food. Thank you!

    1. Gail G. says:

      5 stars
      Delicious!
      I made this with broccoli pesto…no nuts….and served over zucchini noodles.
      Thanks for a solid and versatile recipe. I can see mixing up the veggies in the future.