
Get ready for super juicy steak loaded with Cajun spices, all piled on creamy Alfredo-coated pasta. It's bold, it's rich, and honestly—it's way easier to make than it looks. Every bite blends spicy, creamy, and savory tastes just right. Tender steak and silky noodles come together for a meal that's fancy enough to impress, but totally doable with basic kitchen skills and simple grocery-store finds.
I stumbled upon something like this when I was in Louisiana—Cajun everything out there! After a bunch of tweaks to get the sauce just right (spicy, but creamy!), I finally nailed it. Now my whole family requests it on every birthday, and my husband swears he’s never had better, even when we eat out. The way those Cajun spices fill the house is enough to make everyone excited for dinner.
Irresistible Ingredients
- Fettuccine pasta: Flat noodles that hold onto all that creamy sauce and stand up nicely to steak.
- Fresh garlic: Chopped up and thrown in for flavor you just can’t get from the dried stuff. Sauté till you can smell it (don’t let it burn).
- Smoked paprika: Brings a little smoky magic—Spanish types really pack a punch if you want extra pop.
- Heavy cream: This is what makes your sauce so thick and velvety, plus its fat content keeps it smooth even if you splash in some acid.
- Cajun seasoning: Spicy-salty-sweet, usually with paprika, cayenne, onion, garlic, a few herbs, salt, and pepper. Mix your own or just grab a jar and control the heat how you want.
- Sirloin or ribeye steak: Go for a cut that’s nice and fatty, at least an inch thick. Fat = flavor and keeps the steak juicy as it cooks.
- Freshly grated Parmesan cheese: Makes your sauce cheesy and salty, but also helps it get thick. Skip the pre-grated kind for best melting—just grate your own and it’ll be way tastier.
Simple Cooking Steps
- Easy Pasta Start:
- Kick things off by boiling your fettuccine in lots of salted water. Pull them out just before they’re fully cooked—since they’ll finish up in the sauce. Scoop out a mug of pasta water before draining—don’t forget this; it’s key for silky sauce later.
- Steak Sizzle Time:
- Let your steak hang out at room temp for a bit so it cooks evenly. Dry it off well with paper towels (trust me—this makes sure you get a good crust). Rub Cajun seasoning on every side, press it in. Heat up a cast iron pan until smoking, add a splash of oil, then drop the steak in. Don’t flip till you get a dark crust, about 3-4 minutes per side for a pink middle. Let it chill on a cutting board under some foil for at least five minutes so all those juices soak back in.
- Go-To Cream Sauce:
- No need to wash the pan—just turn the heat down and toss in some butter. Stir in chopped garlic, cook till you get a whiff of good smells. Pour in cream and scrape all those brown steak bits off the bottom (flavor city!). Let it bubble gently—never actually boil, or it could break. Slowly whisk in grated Parmesan till smooth, then blend in extra Cajun spice and smoked paprika. Keep tasting—add what you like. The finished sauce should stick to a spoon but still be pourable.
- Finishing Touches:
- Tip the drained noodles right into your sauce, tossing with tongs so every strand gets coated. If it’s getting thick, pour in a little of that reserved pasta water and stir. Let it cook a minute or two so some flavor soaks in and the pasta is perfectly tender.
- Showy Plating:
- Cut the steak into skinny slices across the grain so it’s super tender. Pile swirly heaps of creamy pasta onto warm plates, then stack the steak strips on top. Drizzle with any extra sauce, sprinkle with chopped parsley and more Parmesan if you want. Dig in!

I learned the hard way that a scoop of starchy pasta water can totally change your sauce. It's like glue—but the tasty kind—that makes everything stick together. My grandma always insisted on saving that cloudy water, and now I do too. Honestly, it’s the little moves like this that make your pasta taste next-level, not just homemade.
Tasty Pairing Ideas
This creamy, bold pasta goes great with anything light and crisp to balance out the richness. Try it next to peppery arugula tossed in lemon juice and olive oil—super fresh! Crisp up some broccolini or asparagus on a sheet pan, and the color pops right off the plate. For drinks, grab a glass of inky red Zinfandel or Syrah to go with the spice, or keep things bright with chilled Pinot Grigio if you’re a white wine fan.
Fun Variations
If beef’s not your style, swap in chicken breasts or thighs. Season, cook, and slice it just like the steak. Fancy seafood? Sear up some big shrimp or scallops—be quick so they don’t turn rubbery. If you’re skipping meat, thick-cut mushrooms like portobellos or king oysters soak up flavor and keep things hearty. Whatever you pick, the Cajun spice and creamy sauce still shine.
Stay Fresh
Keep leftover steak and pasta in different containers with a tight lid, and you’ll get three days in the fridge, easy. When you reheat, splash in a bit of milk or cream to loosen up the sauce—it thickens as it gets cold. Take it slow and warm over low heat, stirring so nothing sticks. Steak’s best straight from the fridge on salads or sandwiches, but if you have to warm it, pop it in a low oven just till it loses the chill.
I’ve cooked this meal so many times now, and somehow it never gets old. The combo of kicky Cajun flavors, creamy sauce, and juicy steak is just right—hits every craving and feels like a hug on a plate. This started as an attempt to copy a cool restaurant dish, but now it’s my signature. The trick? Nothing fancy, just simple moves and good ingredients done with care. You can treat yourself on a weeknight or wow guests on the weekend—either way, it totally delivers.

Recipe Questions & Answers
- → Which steak should I use here?
- Ribeye and sirloin are awesome, but strip or tenderloin work too. A bit of fat in the steak gives you a juicy, tasty bite.
- → Is there a way to tone down the heat?
- For sure! Just add less Cajun seasoning or swap for a mild Creole blend. Leaving out smoked paprika helps, too.
- → What else can I use besides fettuccine?
- Any noodle’s fine. Try pappardelle, linguine, or even penne. The thicker ones hold all that creamy sauce better.
- → Can heavy cream be switched out?
- You can use whole milk or half-and-half instead, but the sauce will be lighter. Stir in a spoonful of flour to thicken it up if needed.
- → How do I warm up leftovers so the sauce stays smooth?
- Gently reheat on low with a splash of milk or cream—don’t rush it. Keeps the sauce together better than turning up the heat or microwaving on high.