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