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Add the cream cheese, butter, milk, and heavy cream to a medium saucepan over medium heat. Whisk together until everything is melted and well combined, about 6 minutes.
Bring to a slight boil then reduce heat to medium-low and whisk in the Parmesan, garlic, ⅛ tsp salt, and ¼ tsp fresh ground pepper until well combined.
Simmer over medium-low heat, stirring often, until thickened, 10 to 15 more minutes. Take off the heat and season with additional salt & pepper if necessary.