Prep the shrimp: Pat shrimp dry and season with 1/2 teaspoon salt and 1/4 teaspoon black pepper.
Dry shrimp sear better and stay juicy.
Warm your base: If using zucchini noodles, lightly sauté in a dry skillet for 1–2 minutes to soften. For shirataki, rinse and quick-sauté to remove odor. For spaghetti squash, warm gently.
Set aside.
Sear the shrimp: Heat a large skillet over medium-high. Add 1 tablespoon butter and the olive oil. Sear shrimp 1–2 minutes per side until just pink and opaque.
Transfer to a plate. Do not overcook.
Sauté the garlic: Lower heat to medium. Add remaining 2 tablespoons butter.
When melted, add garlic and cook 30–45 seconds until fragrant. Don’t brown the garlic.
Build the sauce: Pour in the stock and stir, scraping up any browned bits. Add heavy cream and bring to a gentle simmer.
Enrich and thicken: Whisk in cream cheese until smooth.
Simmer 2–3 minutes, gently bubbling, to thicken slightly.
Add the cheese: Reduce heat to low. Stir in Parmesan in small handfuls until melted and glossy. Season with salt, pepper, and red pepper flakes if using.
Brighten it up: Add lemon zest and a small squeeze of juice.
Taste and adjust—more zest for aroma, more juice for brightness.
Finish the shrimp: Return shrimp and any juices to the skillet. Simmer 1 minute to warm through. Fold in parsley.
Serve: Spoon the Million Dollar Shrimp Alfredo over your keto base.
Top with extra Parmesan and a crack of black pepper.