Bring 4 quarts of water to a boil. Add 1 teaspoon salt when water is boiling.
Add fettuccine. Cook uncovered 10-12 minutes (or according to package). Drain; cover and set aside.
In a large skillet, melt butter. Sauté chopped garlic over medium heat for 1 minute.
Stir in 1 1/2 cups cream or half and half.
Cook over medium heat 3-4 minutes, stirring constantly. When hot, stir in fettuccine. Add remaining cream or half and half, Parmesan cheese, and salt and pepper. Stir to mix well.
After 1-2 minutes, when pasta is hot, serve accompanied by extra cheese for sprinkling, if desired.
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