01 - Boil fettuccine in salted water until al dente. Reserve 1/2 cup pasta water, drain, and set aside.
02 - Heat 1 tbsp olive oil in skillet over medium-high heat. Season shrimp with salt and pepper, sauté 2-3 minutes per side until pink and opaque. Remove and set aside.
03 - Reduce heat to medium. Add butter and remaining olive oil to skillet. Sauté garlic for 30 seconds until fragrant.
04 - Pour in heavy cream, bring to gentle simmer. Whisk in Parmesan, black pepper, salt, and nutmeg. Simmer 2-3 minutes until slightly thickened, stirring constantly.
05 - Add drained fettuccine to sauce, tossing to coat. Add reserved pasta water as needed for desired consistency.
06 - Return shrimp to pan, toss to combine. Stir in parsley. Serve immediately garnished with extra parsley and lemon wedges.