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Gather all ingredients.
Bring a large pot of lightly salted water to a boil. Add fettuccine pasta and cook until al dente; drain.
Melt butter into cream in a large saucepan over low heat; add salt, pepper, Italian Seasoning, and garlic and simmer for 2 minutes.
Increase the heat to medium; stir in grated Romano and Parmesan cheese until melted and sauce has thickened. About 1 minute.
Add cooked pasta to sauce and toss until thoroughly coated; serve immediately.