Keto Creamy Garlic Tuscan Shrimp

Featured in: West Coast Fresh

This indulgent yet light dish combines perfectly seared shrimp with a velvety garlic-Parmesan cream sauce loaded with sun-dried tomatoes and tender spinach. The fresh zucchini noodles provide a satisfying base that soaks up all the flavorful sauce while keeping things low-carb. Everything comes together in just 30 minutes, making it perfect for busy weeknights when you want something special without the fuss.

Updated on Tue, 10 Feb 2026 10:11:00 GMT
Keto Creamy Garlic Tuscan Shrimp with Zucchini Noodles served in a skillet, garnished with fresh parsley and rich creamy sauce. Save
Keto Creamy Garlic Tuscan Shrimp with Zucchini Noodles served in a skillet, garnished with fresh parsley and rich creamy sauce. | dashofstates.com

There's something about the sizzle of shrimp hitting hot butter that makes you feel like you're cooking somewhere coastal, even if you're just in your everyday kitchen. I stumbled onto this dish one weeknight when I had beautiful shrimp thawing and a craving for something that felt indulgent but wouldn't derail my eating goals. The cream sauce came together so fast that I almost couldn't believe how restaurant-quality it tasted, and the zucchini noodles underneath soaked up all that garlicky, sun-dried tomato goodness without any of the heaviness. It became my go-to when I needed to impress someone or just treat myself to something special on a Tuesday.

I remember serving this to my sister who had just started eating low-carb, and she kept circling back to the pan asking if there was really no pasta involved. Watching her fork through those delicate zucchini noodles coated in that silky cream sauce, you could see the moment she realized keto didn't mean giving up flavor. That's when I knew this recipe was worth keeping close.

Ingredients

  • Large shrimp, peeled and deveined: Buy them frozen if fresh ones seem overpriced, and thaw them in the fridge the night before so they're tender and not watery.
  • Zucchini, spiralized into noodles: A spiralizer is worth the counter space if you're eating this way regularly, but a julienne peeler works fine too.
  • Fresh baby spinach: The fresher it is, the brighter your dish will taste, and it wilts away so there's no tough texture.
  • Sun-dried tomatoes: These are concentrated flavor bombs, but don't use the ones packed in oil unless you drain them really well or your sauce becomes too oily.
  • Garlic, minced: Fresh garlic makes all the difference here; garlic powder tastes flat by comparison in a dish this simple.
  • Heavy cream: This is what makes the sauce luxurious, so don't skip it or swap it for something lighter if you want authentic richness.
  • Parmesan cheese, grated: Buy a wedge and grate it yourself if you have time, because pre-grated cheese has additives that prevent it from melting as smoothly.
  • Unsalted butter: You're controlling the salt level, so unsalted gives you that control.
  • Olive oil: Use regular olive oil here, not extra virgin, since you're cooking at medium-high heat.
  • Salt, black pepper, dried Italian herbs: These three are your flavor foundation, so taste as you go and adjust to what feels right to you.
  • Crushed red pepper flakes: Optional, but a small pinch transforms the dish if you like heat.

Instructions

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Prep your shrimp:
Pat them completely dry with paper towels so they'll sear instead of steam, then sprinkle with salt, pepper, and half the Italian herbs. This step seems small but it's the difference between shrimp that's tender and sweet versus rubbery.
Sear the shrimp:
Get your skillet smoking hot with the oil and butter, then add the shrimp in a single layer without moving them around. Let them sit for a minute or two until they're pink on one side, flip, and repeat, then transfer to a plate and don't worry if they look slightly underdone because they'll finish cooking in the sauce.
Build your sauce:
In the same skillet with all those golden bits stuck to the bottom, melt the remaining butter and add your minced garlic, letting it smell absolutely incredible for about 30 seconds. Add the sun-dried tomatoes next and let them soften and release their flavor.
Create the cream magic:
Pour in the heavy cream and sprinkle the Parmesan over it, stirring gently until the cheese melts and the whole thing becomes silky and thick. This takes maybe three minutes and you'll feel like a fancy chef watching it come together.
Wilt in the spinach:
Toss in your baby spinach and watch it disappear into the sauce within about a minute, which is exactly when you know it's done. Don't leave it longer or it becomes a dark heap instead of bright and tender.
Reunite everything:
Return the shrimp to the skillet and gently toss everything together so each piece gets coated in that beautiful sauce. Take your time here because you want the shrimp to absorb the flavors.
Add the zucchini noodles:
This is the final step and it's crucial not to overcook them, so add them and toss gently for just 2 to 3 minutes until they're warm and pliable but still have a tiny bit of structure. Overcooked zucchini noodles turn into mush and nobody wants that.
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Tender shrimp coated in a garlic cream sauce with sun-dried tomatoes and spinach, paired with low-carb zucchini noodles on a plate. Save
Tender shrimp coated in a garlic cream sauce with sun-dried tomatoes and spinach, paired with low-carb zucchini noodles on a plate. | dashofstates.com

There was a moment last summer when I made this for a friend who was learning to cook keto, and I walked them through each step over a video call. Watching them taste it for the first time and realizing they could eat like this while staying in ketosis, I saw something shift in their face—like a door had opened to a way of eating that didn't feel like deprivation anymore. That's what this dish does.

The Secret to Restaurant-Quality Shrimp

Pat your shrimp absolutely dry before seasoning, because any moisture on the surface turns to steam instead of letting them get that perfect golden sear. The drier they are, the better they brown, and browning is where the flavor lives. I learned this the hard way after my first few attempts produced pale, sad shrimp, and once I started drying them thoroughly, everything changed.

Why Sun-Dried Tomatoes Belong in This Dish

Fresh tomatoes would dilute the sauce and make it watery, but sun-dried tomatoes are concentrated flavor that dissolves into the cream instead of breaking it down. They add sweetness and a slight tang without any of the liquid that would ruin your texture. They're the reason this sauce tastes deep and complex instead of one-note garlicky.

Making It Your Own

Once you nail the basic technique, this dish becomes your canvas for whatever vegetables or additions sound good to you. I've thrown in sliced mushrooms, artichoke hearts, even a handful of roasted red peppers when I had them on hand. The cream sauce is flexible enough to work with almost anything, as long as you follow the timing rule of adding delicate ingredients last so they don't get overcooked.

  • Mushrooms are magical here if you slice them thin and add them when you're sautéing the garlic, so they have time to release their flavor into the sauce.
  • A squeeze of fresh lemon juice at the very end brightens everything up and cuts through the richness in the best way.
  • If red pepper flakes aren't your thing, a tiny pinch of nutmeg adds warmth and makes people ask what that subtle something is that makes it taste so good.
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Freshly spiralized zucchini noodles tossed with Keto Creamy Garlic Tuscan Shrimp, topped with grated Parmesan and vibrant spinach. Save
Freshly spiralized zucchini noodles tossed with Keto Creamy Garlic Tuscan Shrimp, topped with grated Parmesan and vibrant spinach. | dashofstates.com

This dish has become my answer to the question of how to eat well without feeling like you're missing out. Every time I make it, something about it reminds me that keto food doesn't have to taste keto.

Recipe FAQ

Can I use frozen shrimp instead of fresh?

Yes, frozen shrimp work perfectly. Thaw them completely in the refrigerator overnight or under cold running water for 15-20 minutes. Pat them thoroughly dry before seasoning and cooking to ensure proper searing and prevent watery sauce.

How do I prevent zucchini noodles from getting soggy?

Avoid overcooking the noodles - add them at the very end and toss just until warmed through, about 2-3 minutes. You can also spiralize the zucchini ahead of time and lightly salt it to draw out excess moisture, then pat dry before adding to the skillet.

Can I make this dairy-free?

Substitute heavy cream with full-fat coconut cream or cashew cream. Use nutritional yeast or dairy-free Parmesan alternative in place of grated Parmesan. The sauce texture will be slightly different but still delicious and creamy.

What other vegetables can I add to this dish?

Sliced mushrooms, artichoke hearts, or roasted red peppers complement the flavors beautifully. You can also add cherry tomatoes or fresh basil. Just keep in mind that additional vegetables may release water and thin the sauce slightly.

How long does this keep in the refrigerator?

Store leftovers in an airtight container for up to 2-3 days. The zucchini noodles will release some liquid, so reheat gently in a skillet over medium-low heat. The shrimp may become slightly rubbery if over-reheated, so warm just until heated through.

Can I make the sauce ahead of time?

The cream sauce can be made 1-2 days ahead and stored in the refrigerator. Reheat gently with a splash of cream or water to thin it slightly. Cook the shrimp and zucchini noodles fresh for the best texture and flavor.

Keto Creamy Garlic Tuscan Shrimp

Succulent shrimp in garlicky cream sauce with sun-dried tomatoes, spinach, and zucchini noodles - a flavorful low-carb Italian-inspired meal ready in 30 minutes.

Prep duration
15 min
Cook duration
15 min
Complete duration
30 min
Created by Jordan Miller


Complexity Easy

Heritage Italian

Output 4 Portions

Nutritional considerations No gluten, Low-Carbohydrate

Components

Seafood

01 1 lb large shrimp, peeled and deveined

Vegetables

01 4 medium zucchini, spiralized into noodles
02 1.5 cups fresh baby spinach
03 0.5 cup sun-dried tomatoes (not in oil), sliced
04 3 cloves garlic, minced

Dairy

01 0.5 cup heavy cream
02 0.25 cup grated Parmesan cheese
03 2 tbsp unsalted butter

Pantry & Seasonings

01 1 tbsp olive oil
02 0.5 tsp salt, or to taste
03 0.25 tsp black pepper
04 0.5 tsp dried Italian herbs
05 0.25 tsp crushed red pepper flakes (optional)

Garnish

01 2 tbsp fresh parsley, chopped
02 Extra grated Parmesan for serving

Method

Phase 01

Season the shrimp: Pat the shrimp dry and season with salt, pepper, and half the Italian herbs.

Phase 02

Sear the shrimp: Heat olive oil and 1 tbsp butter in a large skillet over medium-high heat. Add shrimp and cook 1–2 minutes per side until pink and opaque. Transfer to a plate and set aside.

Phase 03

Build the sauce base: In the same skillet, add remaining butter and garlic. Sauté for 30 seconds until fragrant.

Phase 04

Add sun-dried tomatoes: Add sun-dried tomatoes and cook for 1 minute.

Phase 05

Create the cream sauce: Stir in heavy cream and Parmesan. Bring to a gentle simmer, stirring until cheese melts and sauce thickens slightly.

Phase 06

Incorporate spinach: Add spinach and cook until just wilted, approximately 1 minute.

Phase 07

Return shrimp to sauce: Return shrimp to the skillet and toss to coat thoroughly in sauce.

Phase 08

Add zucchini noodles: Add zucchini noodles and toss gently until just warmed through, 2–3 minutes. Avoid overcooking to prevent sogginess.

Phase 09

Final seasoning and plating: Season with additional salt, pepper, and red pepper flakes if desired. Serve immediately, garnished with fresh parsley and extra Parmesan.

Necessary tools

  • Large skillet
  • Spiralizer or julienne peeler
  • Cutting board and knife
  • Tongs or spatula

Allergy details

Review each component for potential allergens and seek professional medical guidance if you're uncertain.
  • Contains shellfish (shrimp)
  • Contains dairy (heavy cream, butter, Parmesan)
  • Always verify product labels for potential hidden allergens

Nutrient breakdown (each portion)

These figures are approximate and shouldn't replace professional health advice.
  • Energy: 330
  • Fats: 21 g
  • Carbohydrates: 8 g
  • Proteins: 27 g