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Melt butter in a medium saucepan over medium/low heat.
Add the garlic, cream, pepper and salt, and bring mixture to a simmer. Turn the heat down if the mixture reaches a rapid boil or it could boil over. You just want a simmer.
Add the cheese, and continue to simmer the sauce for 8 minutes or until thick.
While the sauce cooks, bring 4 to 6 quarts of water to a boil and add the pasta. Cook pasta for about 12 minutes or until done, then drain it.
Spoon pasta onto serving plates with Alfredo sauce poured over the top.