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Heat a large skillet on medium low. While you wait for the pan to heat up, add the cottage cheese, milk, parmesan, Italian seasoning, salt and pepper to a blender and blend until smooth.
Add the butter to the hot pan and melt. Sprinkle in the flour and whisk to create a roux, cooking for just a few seconds. Add in the minced garlic a cook for just a minute more, until fragrant.
Pour in the blended mixture and whisk to combine, making sure to get in all the corners of your pan so nothing sticks to the bottom. Continue to gently cook on medium low heat, stirring often, for 5 minutes. Remove from heat.
Taste sauce and add any more salt or seasonings, if needed. Serve with your favorite pasta, spaghetti squash, however you love!