I got this recipe from my sister. I serve with a garden salad and garlic bread. It is really rich and creamy. With the pepper and nutmeg I just add a large pinch but I gave actually measurements here to it is to taste.
Cook fettuccine a large pot of boiling water 6-8 minutes drain well. Return to dry pot.
While fettuccine cooking place butter and cream in heavy skillet over medium low heat stir constantly 2 minutes then add salt, pepper and nutmeg. Remove from heat and gradually stir in cheese until throughly blended and fairly smooth. Return to skillet briefly to heat if necessary to completely blend cheese but don't let sauce bubble.
Pour sauce over fettuccine in pot Place over low heat, stir and toss unil slightly thickened and fettuccine evenly coated 2-3 minutes. Serve immediately.