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