
This Pesto Shrimp Pasta in Mushroom Garlic Sauce comes together in under 30 minutes with juicy shrimp, earthy mushrooms, and a rich, garlicky pesto cream sauce that clings to every strand of fettuccine.

Some recipes feel like they belong at a restaurant. This is one of them, except you can have it on the table in about 30 minutes on a Tuesday night. Pesto Shrimp Pasta in Mushroom Garlic Sauce is the kind of dish that makes people ask for the recipe before they have even finished their first bowl. Tender shrimp, golden-seared cremini mushrooms, and a silky pesto cream sauce layered with garlic and a splash of white wine, all tangled up in fettuccine. It is rich without being heavy, and every bite delivers something.
Whether you know this as pesto shrimp fettuccine in mushroom garlic sauce, shrimp pasta with mushrooms and garlic, or just "that pasta I need to make again immediately", the technique is the same and it is wonderfully forgiving.
The secret here is layering flavor at every single step rather than dumping everything in at once.
This combination is why shrimp and pasta with mushrooms tastes so much more sophisticated than its ingredient list would suggest.
For a dish this simple, quality really does show up on the plate. A good-quality jarred pesto (or a batch of homemade if you have fresh basil on hand) and freshly grated Parmesan rather than the shelf-stable powdered kind will elevate the finished sauce considerably. The right tools matter too, especially a wide, heavy-bottomed skillet that holds heat evenly so your mushrooms actually sear instead of steam.
Here is a quick breakdown of the key players:
Chef's Tip: Pat your shrimp completely dry before they hit the pan. Any surface moisture will cause them to steam instead of sear, and you will lose that beautiful golden crust that adds so much flavor to this dish.
Knowing how to make shrimp pasta with pesto really comes down to sequencing. Cook everything in the right order in the same pan and you build a sauce that is way more complex than the effort involved.
That is the full method for how to cook shrimp with pesto in a way that actually tastes like something special.
Scroll down for the full recipe card with exact measurements, step-by-step instructions, and all the details you need to nail this on your first try.

This Pesto Shrimp Pasta in Mushroom Garlic Sauce comes together in under 30 minutes with juicy shrimp, earthy mushrooms, and a rich, garlicky pesto cream sauce that clings to every strand of fettuccine.
Bring a large pot of heavily salted water to a boil. Cook the fettuccine according to package directions until al dente. Before draining, reserve 0.5 cup of the starchy pasta water. Drain the pasta and set aside.
While the pasta cooks, pat the shrimp dry with paper towels and season lightly with salt and black pepper on both sides.
Heat 1 tablespoon of olive oil and 1 tablespoon of butter in a large skillet over medium-high heat. Once shimmering, add the shrimp in a single layer. Cook for 1 to 2 minutes per side until pink and just curled. Do not overcook. Transfer to a plate and set aside.
In the same skillet, add the remaining tablespoon of olive oil over medium-high heat. Add the sliced mushrooms in a single layer and cook undisturbed for 3 minutes until golden on one side. Stir and cook 2 more minutes until deeply browned. Season with a pinch of salt.
Reduce heat to medium. Add the remaining tablespoon of butter and the minced garlic. Cook, stirring constantly, for 60 seconds until fragrant and just golden. Add the red pepper flakes if using.
Pour in the white wine and let it simmer for 2 minutes, scraping up any browned bits from the bottom of the pan.
Stir in the heavy cream and bring to a gentle simmer. Cook for 2 to 3 minutes until the sauce begins to thicken slightly.
Reduce the heat to low. Stir in the pesto and Parmesan cheese until fully combined. Add a splash of the reserved pasta water to loosen the sauce to your desired consistency.
Add the drained fettuccine to the skillet and toss with tongs until every strand is well coated. Squeeze in half the lemon juice and add the lemon zest. Taste and adjust seasoning with salt and pepper.
Nestle the cooked shrimp back into the pasta and gently toss to combine and warm through for about 1 minute.
Divide among bowls and finish with fresh basil leaves, extra Parmesan, and the remaining lemon juice if desired. Serve immediately.
Serve this shrimp mushroom pasta recipe immediately straight from the skillet while the sauce is at its creamiest. A final squeeze of lemon juice, a handful of fresh basil, and a generous snowfall of Parmesan are all it needs. A simple arugula salad and crusty bread on the side make this a complete meal.
Leftovers keep in an airtight container in the refrigerator for up to 3 days. Reheat gently in a skillet over medium-low with a splash of water or broth, tossing often. The shrimp will toughen if reheated too aggressively, so low and slow is the move here.
This is one of those shrimp mushroom pasta recipes that genuinely gets requested again and again. Once you know the technique, you will find yourself riffing on it in all kinds of directions. But the original? It is hard to beat.