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Keto Creamy Tuscan Chicken with Fettuccine

Don’t let the word “creamy” fool you. This Keto creamy Tuscan chicken with fettuccine is dairy-free but still very creamy and flavorful!

keto creamy tuscan chicken

Are you looking for a delicious and satisfying keto-friendly chicken recipe that is packed with flavor?

This Keto Creamy Tuscan Chicken recipe is sure to become one of your go-to meals!

This dish features tender and juicy chicken breasts cooked in a creamy coconut-based sauce that is loaded with Italian seasonings, garlic, mushrooms, sun-dried tomatoes, and spinach.


Let’s take a closer look at the ingredients in this recipe:

  1. Chicken breast cutlets – Chicken breast cutlets are a great choice for this recipe because they cook quickly and evenly. If you prefer, you can use regular chicken breasts, but you may need to adjust the cooking time accordingly.
  2. Olive oilOlive oil is a healthy fat that adds richness and depth to the dish.
  3. Coconut creamCoconut cream is a dairy-free alternative to heavy cream or milk. It is rich and creamy and adds a delicious coconut flavor to the sauce.
  4. Chicken broth – Chicken broth is the base of the sauce and adds a savory and comforting flavor to the dish.
  5. Garlic – Garlic is a key ingredient in Tuscan-style dishes, and adds a pungent and slightly sweet flavor to the sauce.
  6. Italian seasoningItalian seasoning is a blend of dried herbs like basil, oregano, and thyme, and adds a fragrant and savory flavor to the dish.
  7. Spinach – Spinach is a nutritious leafy green vegetable that adds color and texture to the dish. It also provides a variety of vitamins and minerals.
  8. Mushrooms – Mushrooms are another flavorful and nutritious addition to the dish. They add a meaty texture and earthy flavor to the sauce.
  9. Sun-dried tomatoes – Sun-dried tomatoes are a flavorful and slightly sweet ingredient that adds a tangy and slightly sweet flavor to the sauce.
  10. Salt and pepperSalt and pepper are essential for seasoning the chicken and the sauce.
  11. Shirataki noodles – Shirataki noodles are a low-carb and low-calorie alternative to traditional pasta. They are made from konjac flour and are gluten-free.

What is Tuscan Chicken?

Tuscan Chicken is a popular Italian-inspired dish that is known for its rich and creamy sauce that is made with garlic, sun-dried tomatoes, and spinach. The dish is typically served with pasta or rice, but this keto-friendly version uses shirataki noodles instead.

The Tuscan region of Italy is known for its simple yet flavorful cuisine. Tuscan-style dishes often feature fresh and seasonal ingredients and rely on simple preparations that allow the flavors of the ingredients to shine.

This Keto Creamy Tuscan Chicken recipe captures the essence of Tuscan cooking by using simple yet flavorful ingredients like garlic, Italian seasoning, mushrooms, and sun-dried tomatoes.

Why You’ll Love This Recipe:

This Keto Creamy Tuscan Chicken recipe is the perfect choice for anyone who is looking for a flavorful and satisfying low-carb meal.

The creamy coconut-based sauce is loaded with Italian seasonings, garlic, mushrooms, sun-dried tomatoes, and spinach, and is sure to please even the pickiest of eaters.

The shirataki noodles are a great low-carb alternative to traditional pasta and make this dish even more keto-friendly.

Plus, this recipe is easy to make and can be ready in under 30 minutes, making it the perfect choice for busy weeknights. So go ahead and give this recipe a try – you won’t be disappointed!

Macro Breakdown:

If you are following a keto diet, you know how important it is to track your macros. This recipe serves 4 and each serving has the following macro breakdown:

  • 540 calories
  • 38g fat
  • 36g protein
  • 12g total carbs
  • 5g net carbs

This dish is high in fat and protein, which makes it a great choice for anyone following a low-carb or keto diet. The shirataki noodles are low in carbs and calories, which helps keep the overall carb count of the dish low.

There is something so indulgent and satisfying about a rich, cream sauce.

And it’s no different with this Creamy Tuscan Chicken with Fettuccine.

This is a super-tasty one-skillet meal that’s full of flavor but super low in carbs. It comes together in under 30 minutes, so is perfect for weeknights. Plus – it’s dairy-free!

If you’re confused about how fettuccine can be low in carbs – I’d like to introduce you to Shirataki Noodles.

The best keto pasta replacement options

If you’re following a keto diet, finding pasta replacements can be a challenge. Traditional pasta is high in carbs, which is a big no-no when it comes to the keto diet.

Fortunately, there are plenty of keto-friendly pasta replacements available that allow you to enjoy your favorite pasta dishes without breaking your diet.

Here are some of the best keto pasta replacements:

Shirataki Noodles

Shirataki noodles are made from konjac root and have a very low carb count. They are also very low in calories, making them a great option for weight loss. Shirataki noodles have a slightly chewy texture and are best when rinsed thoroughly and cooked in a flavorful sauce.

Zucchini Noodles

Zucchini noodles, also known as zoodles, are a popular pasta replacement for those following a keto diet.

They are easy to make using a spiralizer or julienne peeler and can be cooked in a variety of ways.

Zucchini noodles have a mild flavor and a slightly crunchy texture, making them a great base for a variety of sauces.

Spaghetti Squash

Spaghetti squash is another great pasta replacement for keto dieters. When cooked, spaghetti squash separates into thin, spaghetti-like strands.

It has a slightly sweet flavor and a texture that is similar to al dente pasta. Spaghetti squash is also a good source of fiber, vitamins, and minerals.


Cabbage is a versatile vegetable that can be used in a variety of keto-friendly pasta dishes.

It can be sliced thinly and used as a noodle replacement, or used to make cabbage rolls or stuffed cabbage. Cabbage has a slightly sweet and nutty flavor and is loaded with vitamins and minerals.

Cauliflower Rice

Cauliflower rice is a popular rice replacement for those following a keto diet, but it can also be used as a pasta replacement.

When cooked, cauliflower rice has a texture that is similar to couscous or rice. It can be used in a variety of keto-friendly pasta dishes, such as stir-fry or risotto.

Kelp Noodles

Kelp noodles are made from seaweed and have a slightly crunchy texture.

They are very low in carbs and calories, making them a great option for keto dieters. Kelp noodles are also rich in iodine, which is important for thyroid health.

What Are Shirataki Noodles?

Shirataki Noodles are also known as miracle noodles or konjac noodles.

The Konjac plant is grown in China, Japan, and Southeast Asia. The noodles are made of glucomannan, which is a type of fiber that comes from the root of the konjac plant.

The glucomannan is mixed with a little bit of water as well as a little bit of lime water. That mixture is then boiled and shaped into noodles or ‘rice’. 

The name “Shirataki” is a Japanese word for “white waterfall”, which describes the translucent appearance of the noodles.

The reason why Shirataki noodles are such a good replacement for pasta on a low-carb diet is that they are very low in calories and contain zero digestible carbs. In fact  – the noodles are around 97% water!

chicken noodles

How To Cook Shirataki Noodles

When you first open a packet of Shirataki Noodles you’ll notice a ‘fishy’ smell. Don’t be alarmed – this doesn’t mean they are off. 

The noodles are packaged in freshwater. The water ends up absorbing the odor of the konjac plant.

Your first step is to drain the noodles in a colander or sieve, and then rinse very well for a few minutes, using fresh running water. This will remove most of the odor.

The next step is to heat up the noodles in a skillet for a few minutes but without any added fat. This will remove any excess water and the noodles will take on more of a noodle-like texture. If you try to use the noodles with too much water remaining, they will be mushy.

Tips and Tricks:

Here are some tips and tricks to help you make the perfect Keto Creamy Tuscan Chicken:

Cut the chicken into thin cutlets

Cutting the chicken into thin cutlets will help it cook more quickly and evenly.

Use full-fat coconut cream

Full-fat coconut cream is essential for creating a rich and creamy sauce. Avoid using reduced-fat or light coconut milk, as it won’t be as thick or flavorful.

Don’t overcook the chicken

Chicken breast cutlets cook quickly, so be sure to keep an eye on them to avoid overcooking. Overcooked chicken can become dry and tough.

Drain and rinse the shirataki noodles

Shirataki noodles have a slightly funky smell when they come out of the package. To get rid of this, drain and rinse them thoroughly before adding them to the dish.

Use a non-stick pan

Using a non-stick pan will help prevent the chicken from sticking and will make clean-up easier.

Adjust the seasoning to your taste

If you prefer your food to be more or less spicy, adjust the amount of Italian seasoning and garlic to your liking.

creamy tuscan chicken with fettuccine

How to Store and Reheat Keto Creamy Tuscan Chicken:

This dish can be stored in an airtight container in the refrigerator for up to 3 days. To reheat, simply place the chicken and sauce in a microwave-safe dish and heat in the microwave until warmed through.

creamy tuscan chicken with fettuccine
creamy tuscan chicken with fettuccine

Keto Creamy Tuscan Chicken with Fettuccine

Yield: 4 Servings
Prep Time: 10 minutes
Cook Time: 30 minutes
Total Time: 40 minutes



  1. Heat olive oil in a large skillet.
  2. Add chicken and cook until brown on both sides and 165 degrees F. Remove and set aside.
  3. Add the coconut cream, chicken broth, garlic, and Italian seasoning to the pan. Season with salt and pepper. Whisk until the sauce starts to thicken. 
  4. Add the tomatoes, mushrooms, and spinach, and cook for a  few minutes until the spinach starts to wilt.
  5. Add chicken back to the pan and mix in with the sauce.
  6. Serve over Shirataki Fettucine Noodles.
Nutrition Information

Amount Per Serving Calories 258Total Fat 10gSaturated Fat 0gTrans Fat 0gUnsaturated Fat 0gCholesterol 0mgSodium 0mgCarbohydrates 6gFiber 3gSugar 0gProtein 36g

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keto chicken

More Keto Recipes to try:

  1. Peanut Butter Chocolate Smoothie Bowl
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