Chicken Alfredo – Paleo style!

chickenalfredo Chicken Alfredo – Paleo Style! Oh yes!

Fettuccine Alfredo was one of my very favorite things pre-grain-free days so I had pretty high expectations when I experimented with a Paleo version. But we loved this.

A whole, whole lot!

We licked our plates clean and it was decided then and there that I must make it again asap.

And let’s just talk about the zucchini/squash noodles for a minute. I can’t go one minute further until I tell you about this Spirelli gadget.


 If you don’t have a Spirelli yet, you must stop whatever you are doing right now and get one this very minute. Trust me on this. This thing is my new BFF. I’m planning on filming a video of me using it/reviewing it for you all so you can see for yourself how amazing it is, but I haven’t done it yet (we just moved so give me a little break ;) I so wish we would have captured on film the moment I first used it. I was embarrassingly giddy over it. So for now, just take my word that the Spirelli is officially the coolest gadget ever and it’s a must have for grain-free folk like ourselves. I bought mine on Amazon here.


Pasta shmasta. I’ll take my zuchinni noodles any day of the week ;)


Because if we’re being honest, pasta really doesn’t taste like anything. It’s really all about the sauce, right? And this Alfredo is so dang good. If I didn’t actually make the recipe myself, I would never believe that there is not an ounce of heavy cream in it at all!

So just make this already, okay? :)

Chicken Alfredo - Paleo style!
Serves: 4-6
Cook time:
Total time:
  • For the chicken:
  • 4 chicken breasts
  • 2 tablespoons olive oil
  • 2 tablespoons balsamic vinegar
  • 2 tablespoons fresh basil
  • 1 tablespoon fresh oregano
  • 3 cloves garlic, minced
  • sea salt and pepper, to taste
  • For the Alfredo:
  • 1 head of cauliflower, cut into florets
  • 8 cloves of garlic, minced
  • ¼ cup butter or ghee, melted
  • 4 cups chicken stock
  • sea salt and white pepper, to taste
  • optional if you tolerate dairy: ½ cup romano or parmesan cheese (Romano
    is an excellent choice because it's made from the milk of sheep. Sheep are
    almost always exclusively grass-fed.)
  • For the noodles:
  • ½ to 1 zucchini or yellow summer squash per serving (if you are serving 4, use
    between 2 and 4 zucchinis, depending on their appetites), spiralized into
    noodles using this
  • 1 T olive oil or butter
  • sea salt to taste
  • pinch of garlic powder
  1. Mix together the olive oil, balsamic, herbs and salt and pepper in a small bowl.
  2. Pour the marinade over the chicken and marinate in the fridge for at least 1 hour up
    to 24 hours.
  3. When it's finished marinating, preheat the oven to 350.
  4. Using a skillet, brown both sides of the chicken breast over medium high heat. This
    should only take a minute or two per side.
  5. Once both sides are seared/browned, transfer the skillet to the oven (or put them
    in baking dish) and cook the chicken until cooked through - about 20 - 25
    minutes, depending on the thickness of the breasts. Let sit for 5-10 minutes
    before serving
  6. For the Alfredo:
  7. Put the cauliflower florets and chicken stock in a large pot. Bring to a boil.
  8. Reduce heat, cover and let cook for 10-15 minutes or until tender.
  9. Meanwhile, put the butter in a skillet over medium low heat and let melt.
  10. Once melted, add the garlic cloves to the skillet and cook for 2 minutes or until
    softened and fragrant. Set aside.
  11. Once the cauliflower is tender, do not drain the chicken stock. Instead, transfer
    the cauliflower to a blender or food processor using a slotted spoon.
  12. Add to the blender/food processor 1½ cups of the chicken stock, the
    garlic/butter, salt and pepper and cheese if you are using cheese.
  13. Process for a few minutes until sauce is completely smooth and creamy.
  14. For the zucchini/squash noodles:
  15. Add the olive oil, zucchini noodles, salt and pinch of garlic powder to a skillet over
    medium heat and cook for a few minutes or until the noodles are done to your
  16. Once they are cooked to your liking, drain off any water.
  17. To serve:
  18. Add the cooked zucchini noodles to each plate. Add a hefty dose of Alfredo
    sauce and top with chicken.
  19. Enjoy!
Unless you completely douse your entire plate with Alfredo sauce, you most likely will have some leftover. It's awesome on beef and seafood, too! But it freezes and reheats very well, too so you could always stick it in the freezer.


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60 Responses to Chicken Alfredo – Paleo style!

  1. Kristine says:

    This looks fantastic!

    There is a whole foods vegan cookbook – Get it Ripe by Jae Steele – that I bought early on when I went dairy free, and she makes an alfredo-type sauce with onions and tahini as the base. It is super-delish, but I always feel kind of bad un-veganizing her recipe! (I add shrimp! :)) So, I will definitely give yours a go and compare without any guilt at all. I will also post to my Explore More next week – this is absolutely one to share!

  2. Norma says:

    I just bought a spirelli from Amazon. I can’t want to make this dish with it. Thanks Kelly. I will let you know how it turns out.

  3. Buttoni says:

    This looks divine! We love Chicken Alfredo and I’ll bet your sauce would be equally good on shrimp or scallops. Mmm. I’l be trying this one soon.

  4. GENIUS! GENIUS I tell you! Do you think it would work if I swapped the ghee/butter for olive oil as I cannot do butter…?!

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  6. Erika says:

    So, when I found myself licking my plate, I figured I had to tell you how amazing this is!!! thanks for another HOME RUN!! :)

  7. Ren says:

    Looks delicious! Can I use coconut oil/butter instead of ghee?

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  9. Lesley says:

    Thank you so much for this recipe! My husband (who’s a chef) and I loved this sauce…he said he wouldn’t mind having it every time we had “pasta.” Chicken turned out great too…we grilled it.

  10. Jodi says:

    I only made the sauce part of this recipe to put over some homemade paleo pasta. The sauce is AMAZING!! I don’t even like cauliflower! I will definitely try the rest of this recipe next time. I love it!

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  12. Lyn says:

    This is the first Paleo meal I have ever made. I was skepticalabout making it, since I’m not a great fan of cauliflower. I’m so glad I did, it was the yummiest!! My picky teenage daughter also loved it! This is definitely a keeper!! So glad I found your site. You and your recipes ROCK!!

  13. Suzanne says:

    Made this tonight. Lovely recipe! I didn’t want to make a big meal, so I omitted the chicken today. Then I added mushrooms and some cut up bacon, frying it with the onions and garlic. Did the Romano cheese too. We’ve been Paleo for a couple of years now. Yummy, and super easy!

  14. Donna says:

    What would be a good substitute for balsamic vinegar.? I can use any other vinegar just not that four some reason. Thanks

  15. Tara says:

    I can’t tolerate garlic

  16. Tara says:

    Do you have a suggestion for a substitute for garlic

  17. Amy F says:


    This is the BEST recipe from you that I have tried! (and you know how many of your recipes I LOVE!)

    The alfredo sauce was amazing all on its own! I don’t even like cauliflower!!! I did prepare meals on Sunday for the whole week, so the chicken marinaded until today (Thursday) and then I grilled it since it was so hot outside (who wants to turn the oven on?) and then I used a quinoa noodle instead of zucchini & squash (I’m gonna get me one of those Spirelli things!).

    I knew I was in trouble when I was looking for things to dip into the alfredo sauce after I ate. Who knew an avocado would taste so good with alfredo???????? ;-) My husband is lucky we saved him any for when he gets home from work…

    Thanks again for an AMAZING meal! This will become a regular in the rotation!!!!!!!!!!

  18. Mona says:

    Made this last night. I already had a cooked chicken and I had zucchini noodles in the freezer. I put some spinach in a pot with the cooked chicken and added some mushrooms.Then I put the sauce in let it warm up then the noodles (it was just spiraled zucchini)

    My husband’s words “that was freaking good!”
    I loved it too ;)

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  20. Katie says:

    SO… I made this last night for the first time!!! While I was never a fan of alfredo sauce in my pre-paleo days, my husband is a huge fan! So I thought, let’s give this a try, and…. SUCCESS!! I even had some, but my Spirelli did not come in time so I used spaghetti squash (and that had to get used up) still all in all I liked it. The chicken was delicious too..and the aroma.. yum! Keep up with the great recipes because I am definitely not that creative!! LOL

    Terrific! :)

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  23. Ann says:

    Thank you so much for this fantastic sauce recipe. I made it tonight with fish and a salad for supper and my family loved it. We eat grain, dairy and sugar free and we love cauliflower so this recipe was perfect. My 3 year old daughter refused to eat fish every time we had it but she would happily eat cauliflower as it’s her favorite vegetable. Tonight I told her what the sauce was, poured it all over her fish and she gobbled it all up no problem. She even put her thumbs up and said “I love fish Mommy!”

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  25. Amy D. says:

    Probably a silly question, but are the “noodles” still crunchy or do they have a somewhat closer consistency to actual pasta? I ask because my husband has an aversion to pretty much all veggies (and veggie-like fruits like summer squash and tomatoes) and it is SO HARD to get new ones into him. His most used excuse is that he doesn’t like the texture (I know, he’s weird…I still love him, though!).

    • Amy, you can cook the noodles to whatever consistency he likes best. I like pasta (and veggies) al dente so I only cook them for a few minutes. But if he likes very soft vegetables (or closer to an actual pasta), you can cook them longer! My hubby likes them really soft.

  26. J Z says:

    So I made this dish tonight … and I was VERY nervous!! I specifically went out and bought the spirelli! And the dish was DELICIOUS!! I was shocked!! Just soo tasty, and I loved the zucchini noodles! What are some other veggies you have tried? And what type of squash have you tried?

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  28. Julia says:

    Wow, the zucchini/squash noodles are one of the things that really excites me about this recipe. I like the idea of switching up traditional noodles for something healthier.

  29. Luke says:

    THANK YOU!! I just made this for dinner and it was amazing!! This is one that I know I will come back to over and over. The flavors were spot on and everything turned out just perfect. I used coconut oil, instead of butter, to keep it 100% Paleo.

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  32. Kirsten says:

    Has anyone tried freezing this sauce? How was the outcome good bad?

  33. Psiyina says:

    Omgeezy!!! It was easy to make and I became a chef (in my mind)! Absolutely delicious! A keeper! Everyone enjoyed although they did not want to know what the sauce was made of! The only thing I would change is I would buy more zucchini because 4 was insufficient for the 4 of us.

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  37. Theresa Enebo says:

    I’m typing this as I am sitting at the dinner table watching my 9 and 11 year old boys devour this – trying to hide my glee at pulling this off. Now, you must understand that my 9 year old hasn’t eaten a vegetable since he was still on baby food – no exaggeration. I did not do the zucchini noodles, instead I used Cappello’s fettuccini noodles made from almond flour and completely paleo. I also added a *little bit of parm reg cheese and a splash of almond milk. The coo is the sauce being cauliflower and NOT tasting like it at all. It is so delicious! Thank you for the recipe and allowing me to sneak some veggies into my kids belly :) BTW – if you haven’t tried those Cappello’s noodles, they are amazing!

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