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1
Cook the fettuccine in a large pot of salted boiling water until al dente. Drain the fettuccine, reserving half a cup of the cooking water, and set them aside
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2
In a skillet over medium heat, melt the butter. Add the minced garlic and cook until fragrant, about 1 minute.
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3
Add the white miso paste to the skillet and stir until combined with the butter and garlic.
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4
Pour in the heavy cream and stir to combine. Cook for 1-2 minutes, or until the sauce has thickened slightly.
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5
Add the cooked fettuccine to the skillet and toss with the sauce until the fettuccine is coated. Add some of the reserved cooking water if the sauce is too thick.
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6
Stir in the grated parmesan cheese and chopped parsley.
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7
Gently fold in the flaked salmon.
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8
Season with salt and pepper to taste and serve hot.