01 - Bring a large pot of salted water to boil. Cook fettuccine according to package directions until al dente. Reserve 1/2 cup pasta water before draining.
02 - Heat 1 tbsp olive oil in a large skillet over medium-high heat. Season shrimp with salt and pepper. Cook 2-3 minutes per side until pink and opaque. Remove and set aside.
03 - Reduce heat to medium. Add butter and remaining 1 tbsp olive oil to the same skillet. Sauté minced garlic for 30 seconds until fragrant.
04 - Pour in heavy cream and bring to a gentle simmer. Add Parmesan, black pepper, salt, and nutmeg. Simmer 2-3 minutes while stirring constantly until slightly thickened.
05 - Add drained fettuccine to the sauce, tossing to coat. Add reserved pasta water as needed to achieve desired consistency.
06 - Return shrimp to the pan and toss to combine. Stir in chopped parsley. Serve immediately garnished with extra parsley and lemon wedges.