01 - Bring a large pot of generously salted water to a rolling boil. Add the fettuccine and cook according to package directions until al dente. Reserve 1/2 cup of the starchy pasta water before draining.
02 - While the pasta cooks, heat the olive oil and 2 tbsp butter in a large skillet over medium-high heat. Add the sliced mushrooms in an even layer and sauté without stirring for the first 3 minutes to develop color. Continue cooking for 7-8 minutes total until deeply golden and all released moisture has evaporated. Transfer the mushrooms to a plate and set aside.
03 - Reduce the heat to medium. Add the remaining 5 tbsp butter to the same skillet. Cook, swirling the pan occasionally, until the butter foams, then turns a warm golden brown and releases a toasted, nutty aroma, about 3-4 minutes. Watch carefully to avoid burning.
04 - Add the minced garlic to the browned butter and sauté for 1 minute, stirring constantly, until fragrant and softened.
05 - Pour in the heavy cream and whisk to combine, scraping up any golden-brown bits from the bottom of the pan. Let the sauce simmer gently for 2-3 minutes until it coats the back of a spoon and has slightly reduced.
06 - Stir in the grated Parmesan until melted and smooth. Season with salt, freshly ground black pepper, and a pinch of nutmeg if using. Return the sautéed mushrooms to the pan and toss to coat in the sauce.
07 - Add the drained pasta to the skillet and gently toss until every strand is evenly coated in the sauce. If the sauce feels too thick, loosen it with small splashes of the reserved pasta water until you reach a silky, coating consistency.
08 - Taste and adjust the seasoning with additional salt or pepper as needed. Remove from the heat, sprinkle generously with chopped fresh parsley or chives, and serve immediately with extra Parmesan on the side.