01 - Bring a large pot of salted water to a boil and cook the fettuccine until al dente according to package instructions. Reserve 1/2 cup pasta water, then drain.
02 - Heat 2 tablespoons of butter in a large skillet over medium heat. Add sliced mushrooms and sauté for 5 to 7 minutes until golden and tender. Remove and set aside.
03 - In the same skillet, melt 2 tablespoons butter over medium heat. Add minced garlic and sauté for 30 seconds until fragrant.
04 - Pour in heavy cream and milk. Reduce heat to low and bring to a gentle simmer, stirring occasionally.
05 - Gradually add grated Parmesan cheese, stirring until melted and sauce is smooth. Season with salt, black pepper, and a pinch of nutmeg if desired.
06 - Return sautéed mushrooms to the skillet, add drained fettuccine, and toss to evenly coat. Add reserved pasta water as necessary to achieve desired sauce consistency.
07 - Remove from heat, sprinkle with chopped parsley, and serve immediately with extra Parmesan cheese on the side.