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