
A Rich & Creamy Keto-Friendly Alfredo Dish
This Keto Creamy Salmon Alfredo is a decadent low-carb alternative to the classic Alfredo pasta. Instead of traditional pasta, we’re using shop-bought low-carb noodles or mozzarella cheese-based noodles to keep the carbs in check. Paired with rich, creamy Alfredo sauce, flaky salmon, and fresh vegetables, this dish is indulgent yet keto-friendly, perfect for a comforting meal without the guilt.

Why This Recipe Works
- Low in Carbs, High in Flavor – Using low-carb noodles or mozzarella-based pasta cuts out the carbs but retains all the flavor and texture of a creamy pasta dish.
- Packed with Healthy Fats & Protein – The creamy Alfredo sauce is made with butter and heavy cream, while salmon adds a boost of omega-3 fatty acids.
- Quick & Easy – Ready in under 30 minutes for a satisfying weeknight dinner.
Tips for the Best Results
- Use freshly cooked salmon for the best texture and flavor. You can pan-sear, bake, or grill it before adding it to the dish.
- Choose your low-carb noodles carefully. Mozzarella-based pasta works wonderfully in this dish for a chewy texture, or opt for pre-made low-carb pasta to save time.
- Don’t overcook the vegetables – a quick sauté is all you need to keep them crisp-tender.
- Make the sauce ahead of time for an even quicker meal on busy nights.

What to Serve With Keto Salmon Alfredo
- Garlic Parmesan Roasted Broccoli – A delicious low-carb side dish to complement the rich, creamy flavors of the Alfredo.
- Keto Breadsticks – Warm and buttery, these are perfect for dipping into the leftover sauce.
- Simple Side Salad – A light salad with arugula, spinach, and avocado to balance the richness of the pasta.
Storage & Reheating Tips
- Refrigerate leftovers in an airtight container for up to 2 days.
- Reheat on the stovetop over low heat, adding a little cream or water to loosen the sauce if necessary.
- Not recommended for freezing due to the creamy texture of the sauce.

Ingredients You’ll Need
For the Alfredo Sauce:
- 1 cup heavy cream
- 4 tablespoons butter
- 1 cup grated Parmesan cheese
- 1 teaspoon garlic powder
- ½ teaspoon salt
- ¼ teaspoon black pepper
- ¼ teaspoon ground nutmeg (optional)
For the Salmon:
- 4 salmon fillets (about 5 oz each)
- 1 tablespoon olive oil
- ½ teaspoon salt
- ¼ teaspoon black pepper
- 1 teaspoon garlic powder
For the Vegetables:
- 1 cup zucchini, sliced
- 1 cup bell peppers, sliced
- ½ cup spinach, chopped (optional)
For the Low-Carb Noodles:
- 2 cups low-carb noodles (such as shirataki noodles or zucchini noodles)
- Or mozzarella cheese pasta (for a keto-friendly option, using the famous “fathead dough” method for making noodles)

Step-by-Step Instructions
Prepare the Salmon
Preheat the oven to 375°F (190°C). Season the salmon fillets with salt, pepper, and garlic powder. Place the salmon on a baking sheet and bake for 12-15 minutes, until the salmon flakes easily with a fork. Once cooked, flake the salmon into bite-sized pieces and set aside.
Prepare the Vegetables
In a skillet, heat a little olive oil over medium heat. Sauté the zucchini, bell peppers, and spinach (if using) for about 5 minutes, just until tender but still crisp. Set aside.
Make the Alfredo Sauce
In a saucepan over medium heat, melt the butter. Add the heavy cream, and bring to a simmer. Stir in the Parmesan cheese, garlic powder, salt, pepper, and nutmeg (if using). Let the sauce simmer for 5 minutes, stirring occasionally, until thickened and creamy. Remove from heat.
Prepare the Low-Carb Noodles
If using store-bought low-carb noodles (like shirataki noodles), drain and rinse well. If making mozzarella-based noodles, follow the instructions to prepare the pasta using mozzarella cheese and almond flour to create the “fathead dough” noodles.
Assemble the Dish
Add the cooked low-carb noodles to the skillet with the sautéed vegetables. Pour the creamy Alfredo sauce over the noodles and toss gently to combine. Add the flaked salmon to the dish and mix well, ensuring everything is evenly coated with sauce.
Serve & Enjoy
Serve immediately, garnished with additional Parmesan cheese and a sprinkle of fresh herbs (such as parsley or basil) for extra flavor.
Nutritional Information (Per Serving)
- Calories: 530 kcal
- Protein: 40g
- Fat: 36g
- Carbs: 7g
- Net Carbs: 4g
