
Creamy pesto shrimp fettuccine with garlicky sauteed mushrooms comes together in 30 minutes, delivering restaurant-quality Italian flavor right from your own kitchen.

There is something magical about the combination of pesto and shrimp. The bright, herby punch of basil pesto wraps itself around plump, juicy shrimp and earthy sauteed mushrooms, creating a pasta dish that feels indulgent but comes together in under 30 minutes. This pesto shrimp fettuccine is one of those recipes you will want to keep on repeat, whether you are cooking for a weeknight dinner or trying to impress guests without spending hours in the kitchen.
If you have been searching for the best way on how to cook shrimp with mushrooms, this is it. The mushrooms soak up all that garlicky, buttery goodness while the shrimp stay tender and sweet, and the pesto ties everything together into a sauce that clings beautifully to every strand of fettuccine.
Before we get cooking, the right tools and ingredients make a real difference here. A good quality pesto (or fresh basil if you are making your own), a heavy-bottomed skillet for even searing, and fresh, properly deveined shrimp will elevate this dish from good to unforgettable.
When it comes to shrimp mushroom pasta recipes, balance is everything. You want the seafood to shine without being overshadowed by the sauce, and you want the mushrooms to add depth rather than sogginess. Here is how this recipe strikes that balance:
Chef's Tip: Always cook your shrimp in a single layer and avoid crowding the pan. If your skillet is small, sear the shrimp in two batches. Crowding causes the shrimp to steam instead of sear, and you will miss out on that beautiful golden color.
Most shrimp and pesto recipes go wrong in one of two places: overcooked shrimp or a sauce that breaks and turns oily. The trick here is to lower the heat before you add the pesto and cream. Basil pesto has a tendency to separate when exposed to high heat for too long, so treat it gently. Stir it in off the direct heat if you are worried, then return the pan to low heat just long enough to warm everything through.
This approach is what makes this Italian shrimp pesto pasta so silky and restaurant-worthy. The cream is optional but recommended if you want an extra luxurious texture, similar to a lighter take on shrimp and mushroom pasta alfredo. If you would rather keep things dairy-light, simply lean more heavily on the reserved pasta water.
Ready to make it? Here is the full step-by-step recipe:

Creamy pesto shrimp fettuccine with garlicky sauteed mushrooms comes together in 30 minutes, delivering restaurant-quality Italian flavor right from your own kitchen.
Bring a large pot of salted water to a boil. Cook the fettuccine according to package directions until al dente, reserving 1 cup of pasta water before draining.
While the pasta cooks, pat the shrimp dry and season with salt and pepper.
Heat 1 tablespoon of olive oil in a large skillet over medium-high heat. Add the shrimp in a single layer and cook for 1 to 2 minutes per side, until pink and just opaque. Remove and set aside.
In the same skillet, add the butter and remaining olive oil. Add the sliced mushrooms and cook for 5 to 6 minutes, stirring occasionally, until browned and any liquid has evaporated.
Add the minced garlic and red pepper flakes to the mushrooms and cook for 30 seconds until fragrant.
Lower the heat and stir in the pesto and heavy cream, mixing until smooth. Add a splash of reserved pasta water to loosen the sauce if needed.
Return the shrimp to the skillet along with the drained fettuccine. Toss everything together until the pasta is well coated, adding more pasta water a little at a time for a silky consistency.
Stir in the parmesan cheese, lemon juice, and lemon zest. Taste and adjust salt and pepper as needed.
Plate the pasta and garnish with torn basil leaves and extra parmesan. Serve immediately.
This pesto shrimp fettuccine pairs beautifully with a simple arugula salad dressed in lemon vinaigrette, or a slice of crusty garlic bread to mop up any extra sauce. A chilled glass of Pinot Grigio or Sauvignon Blanc rounds out the meal nicely if you are serving this for a special occasion.
If you are looking to switch things up, here are a few reader-favorite variations on this pesto shrimp with mushrooms formula:
While this shrimp pasta with mushrooms is best enjoyed fresh, leftovers can be stored in the fridge for up to two days. Reheat low and slow in a skillet with a splash of water or broth to bring the sauce back to life without overcooking the shrimp.
Chef's Tip: Grate your parmesan fresh rather than using pre-shredded cheese. Fresh parmesan melts more smoothly into the sauce and avoids the grainy texture that pre-shredded varieties can sometimes cause.
Whether it is a busy Tuesday or a weekend dinner party, this pesto shrimp fettuccine delivers big, bold Italian flavor with minimal fuss. Once you try this method for cooking shrimp and mushrooms together, it just might become your new go-to pasta night recipe.