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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. JoEllen says:

    Third time making this today! By far one of my favorite recipes. Easy and taste amazing. Thanks for sharing another great recipe

    1. GILLIAN says:

      5 stars
      Yum! Yum!
      We don’t do cups here, UK, but I just made sure I made plenty sauce and we mopped it up with garlic bread. Avocado salad on the side.

  2. Miss A. says:

    5 stars
    Made this tonight, super easy, quick and delicious. Used frozen cooked shrimp, made the homemade pesto, and served over riced cauliflower. It was a huge hit. Will make again in a heartbeat:)

  3. Brenda says:

    5 stars
    This was so easy. And tasty. Skipped the tomatoes and served over riced cauliflower for an easy, low carb, keto meal. Making it with chicken next!! Yum!!

  4. Amanda says:

    5 stars
    We made this last night and had it with linguine. It was delicious! Easy enough for a weeknight dinner but fancy enough for company. Used some frozen shrimp we already had plus cherry tomatoes from our garden! Will definitely add it to the rotation!

  5. Heidi says:

    Can you use frozen cooked shrimp?

    1. Karina says:

      Yes, that works great!

  6. Clio says:

    This was SO good. We really enjoyed it. It was so easy and fast too. This is going into the regular rotation!

    1. Karina says:

      YAY! That is perfect and just what I love to hear! Thank you for sharing! XO

  7. Jane says:

    5 stars
    I made this for dinner tonight and it was WONDERFUL! I was a little concerned since pesto is not anything we have ever eaten before but both my husband and I absolutely loved it. It was very fast and easy with a lovely fresh and creamy sauce. and low carb to boot! We also tried Konjac pasta for the first time and loved it too. I have tried several of your recipes and all have been a success.

  8. Angela says:

    5 stars
    Thank you for another restaurant quality recipe. I made this for dinner last night and my husband said it is his new favorite meal. He is now requesting it for his birthday dinner.

    1. Karina says:

      YAY!! That is a bonus when the husband loves it! So glad that it turned out well for you! Thanks so much for sharing!

  9. Mignone says:

    5 stars
    Thanks for the appetising recipe ideas. I love cooking. It helps me to relax and forget my every day worries.

  10. NL says:

    I feel silly asking (because I’m almost certain I’m missing the obvious), but where are the “Pin it” icons on this recipe? I can’t seem to find a way to Pin this to my favorites…