Homemade Chicken Meatballs with Creamy Fettuccine Alfredo: Your Ultimate Comfort Food Recipe
Indulge in the ultimate comfort food experience with these exquisite homemade chicken meatballs with fettuccine Alfredo. This recipe guides you through crafting succulent meatballs from scratch, featuring lean ground chicken, Italian breadcrumbs, finely minced onion, and rich, freshly grated Parmesan cheese. Each tender meatball is then bathed in a luxurious, classic Alfredo sauce made with velvety heavy cream and more delectable Parmesan, all perfectly tossed with al dente fettuccine. It’s a dish that promises to warm your soul and satisfy your cravings, making it an ideal choice for a hearty family dinner or a special meal.

This post contains affiliate links. As an Amazon Associate, I earn from qualifying purchases.
This exquisite dish elevates the classic chicken Alfredo by pairing it with perfectly seasoned, homemade chicken meatballs. The velvety, rich Alfredo sauce, a cornerstone of Italian-American cuisine, is crafted with only the finest heavy cream and freshly grated Parmesan, ensuring a smooth, decadent coating for every strand of pasta and every succulent meatball. Whether you prefer traditional fettuccine or another pasta shape, this recipe delivers a truly satisfying culinary experience.
Inspired by the fantastic flavors of my baked buffalo turkey meatballs (a must-try for your next meal!) and my quick, flavorful Cajun-inspired Alfredo sauce, this recipe brings together beloved elements for a truly unique taste. While making homemade meatballs is highly recommended for the best flavor and texture, you can certainly opt for frozen meatballs if you’re looking for a convenient shortcut on a busy weeknight. The magic truly happens when these tender meatballs meet the creamy, dreamy Alfredo sauce.
Recipe Highlights: Why You’ll Love This Chicken Meatball Alfredo
This Chicken Meatball Alfredo isn’t just another pasta dish; it’s a culinary triumph designed for both ease and incredible flavor. Here’s why this recipe will quickly become a cherished favorite in your kitchen:
- Effortless Weeknight Meal: Don’t let the “homemade” aspect intimidate you. This recipe is surprisingly straightforward and comes together quickly, making it a perfect solution for busy weeknights when you crave something truly special without spending hours in the kitchen. From mixing the meatballs to simmering the sauce, each step is designed for efficiency, ensuring you can enjoy a gourmet-quality meal in a flash. Plus, once you master this creamy Alfredo sauce, you’ll want to make it for everything!
- Wholesome, Simple Ingredients: The beauty of true comfort food lies in its simplicity. This dish relies on readily available, fresh ingredients that you likely already have on hand. From lean ground chicken to quality heavy cream and Parmesan, each component plays a vital role in creating a rich, authentic flavor. Opting for fresh ingredients elevates this dish from ordinary to extraordinary, proving that the best meals don’t require exotic components.
- Versatile Chicken Meatballs: The star of this dish, the chicken meatballs, are incredibly versatile. Made with a flavorful blend of ground chicken, herbs, and cheese, they are tender, juicy, and packed with taste. While they shine in this creamy Alfredo, these meatballs are fantastic on their own. Consider using them in a hearty meatball sub with marinara, adding them to a flavorful soup, or serving them as appetizers with your favorite dipping sauce. They’re a fantastic recipe to have in your culinary arsenal!
[feast_advanced_jump_to]
Essential Ingredients for Perfect Chicken Meatball Alfredo
Crafting this delicious Chicken Meatball Fettuccine Alfredo starts with selecting the right ingredients. Each component plays a crucial role in building the layers of flavor and texture that make this dish so irresistible. Here’s a closer look at what you’ll need and why each one matters:

Pasta
- Fettuccine: These wide, flat noodles are the traditional choice for Alfredo sauce because their broad surface area is perfect for clinging to the rich, creamy sauce, ensuring every bite is flavorful. However, feel free to use your favorite pasta!
Chicken Meatballs
- Ground Chicken: A fantastic lean alternative to beef or pork, ground chicken creates lighter meatballs while still delivering great flavor. Look for 90-93% lean ground chicken for the best balance of moisture and leanness.
- Italian Breadcrumbs: These aren’t just for texture; Italian breadcrumbs come pre-seasoned with a blend of herbs, adding an instant boost of classic Italian flavor to your meatballs. They also act as a binder, helping the meatballs hold their shape.
- Onion: Finely minced onion provides essential aromatic depth and moisture to the meatballs. Make sure to chop it very small so it integrates seamlessly into the mixture without creating large chunks.
- Parmesan Cheese: Freshly grated Parmesan adds a salty, umami-rich punch that complements the chicken beautifully. You can use pre-grated for the meatballs, but fresh is always superior in flavor.
- Fresh Chopped Parsley: Incorporating fresh parsley provides a vibrant, herby freshness that brightens the flavor profile of the meatballs. It’s a simple addition that makes a big difference.
- Egg: The egg acts as a crucial binding agent, holding the ground chicken and other ingredients together, preventing the meatballs from falling apart during cooking.
- Italian Seasoning: A convenient blend of dried herbs like oregano, basil, thyme, and rosemary, Italian seasoning further enhances the savory, herbaceous notes in the meatballs.
- Salt and Pepper: These fundamental seasonings are vital for enhancing all the other flavors and bringing balance to the meatballs. Adjust to your taste preference.
Alfredo Sauce
- Unsalted Butter: The foundation of a truly rich and creamy Alfredo sauce, unsalted butter allows you to control the overall saltiness of the dish. It provides a luxurious base for sautéing garlic.
- Garlic: Freshly minced garlic is non-negotiable for a vibrant Alfredo sauce. Its pungent, aromatic qualities infuse the butter and cream with irresistible flavor. While jarred minced garlic can be used, fresh always yields the best results.
- Heavy Whipping Cream: This is the star of the Alfredo sauce, providing its characteristic luxurious texture and rich flavor. Opt for full-fat heavy cream for the silkiest, most decadent sauce. Avoid lighter creams, as they may not thicken properly or could split.
- Parmesan Cheese: For the Alfredo sauce, *freshly grated Parmesan* is absolutely essential. Pre-shredded or pre-grated cheeses often contain anti-caking agents that prevent them from melting smoothly, resulting in a grainy sauce. Grate your own for a flawlessly smooth and silky sauce.
- Fresh Parsley: A final sprinkle of fresh chopped parsley not only adds a touch of color but also a burst of fresh, herbaceous flavor that cuts through the richness of the Alfredo.
- Salt and Pepper: Essential for seasoning the creamy sauce to perfection. Start with a little and adjust as you taste, keeping in mind the saltiness of the Parmesan cheese.
See the recipe card at the bottom of the post for exact quantities and detailed measurements.
Step-by-Step Guide to Crafting Chicken Meatball Alfredo
Creating this delicious Chicken Meatball Fettuccine Alfredo is a rewarding process. Follow these detailed instructions to achieve perfect, flavorful results every time:

First, get your water boiling for the fettuccine. In a large pot, bring generously salted water to a rolling boil. Add your fettuccine and cook according to package directions until it’s perfectly al dente – tender but still with a slight bite. Once cooked, drain the pasta and set it aside, reserving a little pasta water if you like, as it can be useful later to thin the sauce if needed.

While the pasta cooks, turn your attention to the meatballs. In a large mixing bowl, combine all the meatball ingredients: ground chicken, Italian breadcrumbs, minced onion, grated Parmesan cheese, fresh chopped parsley, egg, Italian seasoning, salt, and pepper. Use your hands to gently combine everything until just mixed. Be careful not to overmix, as this can lead to tough meatballs. The mixture should be cohesive but still light.

Once mixed, gently shape the meatball mixture into uniform 1-inch balls. Aim for consistency in size to ensure even cooking. You should yield approximately 25 to 30 tender chicken meatballs from this batch.

In a large skillet, heat a tablespoon of olive oil over medium heat. Once hot, carefully add the raw meatballs to the skillet, working in batches if necessary to avoid overcrowding. Brown them for several minutes on all sides until they develop a beautiful golden-brown crust and are cooked through. It’s crucial that the meatballs reach a minimum internal temperature of 165°F (74ºC) to ensure food safety. Use a meat thermometer to verify. Once cooked, remove the golden-brown meatballs from the skillet and set them aside on a plate; they’ll be added back to the sauce later.

Now, let’s create the star of the show: the Alfredo sauce. Using the same skillet where you cooked the meatballs (those browned bits add incredible flavor!), melt the unsalted butter over medium heat. Once the butter is fully melted and shimmering, add the minced garlic. Sauté the garlic for about 1 minute until fragrant, being careful not to let it brown, as burnt garlic can taste bitter.

Pour in the heavy cream, stirring continuously. Bring the cream to a gentle simmer, then immediately reduce the heat to medium-low. Allow the sauce to cook for 7-10 minutes, stirring occasionally, until it slightly thickens to your desired consistency. Important Note: It’s crucial to maintain a low heat during this step. Setting the heat too high can cause the heavy cream to separate or “split,” resulting in a less desirable texture. Patience here will yield a beautifully smooth sauce.

Once the sauce has thickened slightly, remove the skillet from the heat (or keep it on very low heat) and stir in the freshly grated Parmesan cheese. Continue stirring until the cheese is completely melted and incorporated, creating a velvety smooth sauce. Now, add the fresh chopped parsley, salt, and pepper. Taste the sauce and adjust the seasonings as needed. Remember that Parmesan cheese is salty, so add additional salt judiciously.

Give the sauce a final stir to ensure all ingredients are perfectly melded. The sauce should be smooth, creamy, and wonderfully aromatic. If the sauce seems too thick, you can add a splash of reserved pasta water or a little extra cream until it reaches your desired consistency. Be careful not to thin it out too much.

Now for the grand finale! Carefully transfer the drained fettuccine and the cooked chicken meatballs back into the large pot or a very large serving bowl. Pour the creamy Alfredo sauce over the pasta and meatballs. Using tongs, gently toss everything together until the pasta and meatballs are thoroughly coated in the luscious sauce. Ensure every piece is glistening with Alfredo goodness.

Serve your magnificent Chicken Meatball Alfredo immediately while it’s still warm and the sauce is at its creamiest. For an extra touch of elegance and fresh flavor, garnish each serving with a sprinkle of additional fresh chopped parsley. Enjoy this comforting and satisfying meal!
Flavorful Substitutions for Your Chicken Meatball Alfredo
One of the best aspects of home cooking is the flexibility to adapt recipes to your preferences or what you have on hand. Here are some fantastic substitutions you can make for this Chicken Meatball Alfredo recipe without sacrificing flavor:
- Pasta: While fettuccine is traditional, almost any pasta will work beautifully with this creamy Alfredo sauce. Consider linguine for a slightly thinner noodle, spaghetti for a classic twist, or pappardelle for a wider, heartier option. For something a little different, short pasta cuts like rigatoni, penne, or cavatappi can also hold the sauce wonderfully, making for a fun, bite-sized experience.
- Ground Chicken: If ground chicken isn’t available or you prefer another protein, several options work well. Ground turkey is an excellent lean alternative, offering a very similar texture. Ground beef (80/20 for flavor, or leaner for less fat) will provide a richer, more robust meatball. Ground pork or a mix of ground beef and pork (often called “meatloaf mix”) can also be used for a more traditional meatball flavor, just be mindful of their respective minimum internal cooking temperatures.
- Italian Breadcrumbs: No Italian breadcrumbs? No problem! Regular plain breadcrumbs can be used, though you might want to add a pinch more Italian seasoning to compensate. Panko breadcrumbs will give your meatballs a slightly lighter, crispier texture. For a gluten-free option, finely crushed crackers (like Ritz or gluten-free crackers) or even rolled oats (processed briefly in a food processor) can serve as excellent binders.
- Parmesan Cheese: For both the meatballs and the Alfredo sauce, freshly grated cheese is highly recommended. However, if you’re looking for different flavor profiles, Pecorino Romano offers a sharper, saltier taste, while Asiago provides a nuttier, slightly milder flavor. Grana Padano is another excellent choice, similar to Parmesan but often a bit sweeter and less crumbly.
- Onion: If you don’t have a fresh onion, you can substitute with about 1 teaspoon of onion powder for the meatballs. For a milder onion flavor, finely minced shallots can be used, or for a subtle hint of onion, a tablespoon or two of chopped green onion whites could work in a pinch.
- Garlic: Fresh garlic is best, but if you’re out, ¼ to ½ teaspoon of garlic powder can be used in the Alfredo sauce instead of fresh cloves.
Delicious Variations to Explore with Your Alfredo
Once you’ve mastered the basic Chicken Meatball Alfredo, don’t hesitate to experiment with these exciting variations to keep your meals fresh and interesting:
- Classic Chicken Alfredo: If you love the creamy sauce but prefer it without meatballs, simply omit them. You can grill or pan-sear chicken breasts or thighs, slice them, and serve them directly over the fettuccine and Alfredo sauce for a truly classic chicken Alfredo experience.
- Spicy Cajun Alfredo: For those who love a bit of heat and a vibrant flavor kick, transform your Alfredo into a Cajun Alfredo. Add a tablespoon or two of Cajun seasoning to your Alfredo sauce along with the heavy cream. You can also add some diced bell peppers and onions to the sauce for extra texture and flavor. This variation pairs wonderfully with the chicken meatballs, offering a delightful contrast to the creamy sauce.
- Vegetable Boost: Enhance the nutritional value and texture by adding your favorite vegetables. Sautéed mushrooms, spinach, broccoli florets, or even sun-dried tomatoes can be folded into the Alfredo sauce before combining with the pasta and meatballs.
- Cheese Lovers Dream: Beyond Parmesan, consider adding a blend of other Italian cheeses to your Alfredo. A touch of provolone, fontina, or even mozzarella can add more complexity and stretchiness to the sauce, creating a cheese lover’s paradise.
Essential Equipment for This Recipe
Having the right tools on hand can make all the difference in the kitchen. For this Chicken Meatball Alfredo recipe, these are the key pieces of equipment you’ll need to ensure a smooth cooking process:
- Large Pot: Essential for boiling the fettuccine to perfection, ensuring the pasta has enough room to cook evenly and prevent sticking.
- Colander: A must-have for safely and efficiently draining your cooked pasta, separating the noodles from the boiling water.
- Large Skillet: This versatile pan is used for two crucial steps: browning your flavorful chicken meatballs and then seamlessly transitioning to prepare your creamy Alfredo sauce, allowing you to build layers of flavor.
- Whisk: Indispensable for creating a smooth, lump-free Alfredo sauce. A good whisk will help emulsify the butter and cream, and thoroughly melt the Parmesan cheese for that perfect velvety texture.
- Meat Thermometer (Optional but recommended): Ensures your chicken meatballs are cooked to a safe internal temperature of 165°F (74ºC).
Storage and Reheating Tips for Leftovers
While Alfredo sauce is undoubtedly at its peak when enjoyed fresh, leftovers can still be delicious with proper storage and gentle reheating. The delicate nature of Alfredo sauce means it can sometimes separate or “split” when reheated, but there are ways to minimize this.
To store any leftover Chicken Meatball Alfredo, allow the pasta and sauce to cool completely to room temperature first. Then, transfer it to an airtight container. This helps prevent bacteria growth and keeps your leftovers fresh. Refrigerate promptly for up to 4-5 days.
When reheating, avoid high heat. Gently warm the leftovers in a skillet over low heat, adding a splash of milk or a little extra heavy cream to help revive the sauce and bring back its creamy texture. Stir frequently to prevent sticking and splitting. You can also reheat in the microwave on a lower power setting, stirring every minute or so until warmed through.
More Delicious Pasta Recipes You’ll Love
If you’re a fan of comforting and flavorful pasta dishes like this Chicken Meatball Alfredo, you’re in luck! Here are some other fantastic pasta recipes that are sure to become family favorites:
- One Pan Lemon Chicken Orzo
- One Pan Marry Me Chicken Orzo
- One Pan Salmon Pesto Pasta
- Stovetop Buffalo Chicken Mac and Cheese
📖 Recipe

Pin Recipe
Save Recipe
Saved!
Email
Print
Chicken Meatball with Fettuccine Alfredo
Equipment
-
Large pot
-
Colander
-
Large skillet
-
Whisk
Ingredients
Pasta
- 12 ounces fettuccine
Chicken Meatballs
- 1 pound ground chicken
- ½ cup Italian breadcrumbs
- ⅓ cup onion minced
- ¼ cup freshly grated parmesan cheese
- ¼ cup fresh parsley finely chopped
- 1 large egg
- ½ teaspoon Italian seasoning
- ½ teaspoon kosher salt
- ¼ teaspoon ground black pepper
Alfredo Sauce
- ½ cup unsalted butter
- 4 cloves garlic minced
- 2 cups heavy whipping cream
- 1-½ cups freshly grated Parmesan cheese
- 2 tablespoons fresh parsley finely chopped
- ½ teaspoon kosher salt
- ½ teaspoon ground black pepper
Instructions
For the pasta:
-
Boil the fettuccine in a large pot of salted water until al dente according to the package directions. Drain and set aside.
For the meatballs:
-
Meanwhile, in a large bowl, combine all of the meatball ingredients using your hands. Shape the mixture into 1-inch balls. There will be about 25 to 30 meatballs.
-
In a large skillet, add a tablespoon of olive oil over medium heat. Brown the meatballs for several minutes on all sides until they reach a minimum internal temperature of 165°F (74ºC). Once cooked, remove the meatballs from the skillet and set aside.
For the sauce:
-
In the same skillet the meatballs were cooked in, add butter on medium heat. When melted, add the minced garlic and sauté for about 1 minute.
-
Add the heavy cream. Bring to a simmer then reduce to medium-low heat and cook for 7-10 minutes or until slightly thickened, stirring occasionally. Note: Setting the heat too high can cause the sauce to split.
-
Stir in the Parmesan, chopped parsley, salt, and pepper until the cheese is melted. Taste and adjust the seasoning if desired.
-
Combine the pasta, meatballs, and sauce in the large pot and toss to combine. Serve warm and garnish with fresh parsley (optional).
Video
Notes
To bake the meatballs instead: Preheat the oven to 400°F (205ºC). Spray a wire rack with nonstick cooking spray and set it onto a rimmed baking sheet OR line the baking sheet with parchment paper if you don’t have a wire rack. Bake for 15-20 minutes or until the meatballs reach a minimum internal temperature of 165°F.
Nutrition
Course: Main Course
Cuisine: American
Keyword: chicken, heavy cream, pasta
Tried this recipe?Rate it to let me know how it was!
Important Food Safety Guidelines
Ensuring food safety is paramount when cooking with raw meat, especially chicken. Following these guidelines will help prevent foodborne illnesses and keep your kitchen safe:
- Cook Thoroughly: Always ensure that ground chicken, whether in meatballs or other forms, reaches a minimum internal temperature of 165°F (74°C). Use a reliable meat thermometer inserted into the thickest part of a meatball to verify doneness. This is the only way to guarantee the chicken is safe to eat.
- Prevent Cross-Contamination: Raw chicken can harbor harmful bacteria that can easily spread to other foods and surfaces. Use separate cutting boards, plates, and utensils for raw chicken and for cooked foods or fresh produce. After handling raw chicken, thoroughly wash your hands, cutting boards, and any tools with hot, soapy water.
- Wash Hands: Frequent and thorough handwashing is critical. Wash your hands with warm water and soap for at least 20 seconds before and after handling raw meat, especially poultry, and before preparing any other food items.
For more comprehensive information on safe food handling and preparation, please refer to the guidelines provided by USDA.gov.