01 - Bring a large pot of generously salted water to a rolling boil. Add fettuccine and cook according to package directions until al dente. Reserve 1/2 cup of starchy pasta water before draining.
02 - Heat olive oil and 2 tbsp butter in a large skillet over medium-high heat. Add sliced mushrooms in an even layer and cook undisturbed for 2 minutes, then stir. Continue sautéing for 7-8 minutes total until deeply golden and all released moisture has evaporated. Transfer mushrooms to a plate and set aside.
03 - Reduce heat to medium. Add remaining 5 tbsp butter to the same skillet. Cook, swirling the pan occasionally, for 3-4 minutes until the butter foams, then turns a warm amber color and releases a toasted nutty aroma. Watch carefully to prevent burning.
04 - Add minced garlic to the browned butter and sauté for 1 minute until fragrant. Pour in heavy cream, whisking to scrape up all the caramelized bits from the bottom of the pan. Let the sauce simmer gently for 2-3 minutes until it slightly thickens and coats the back of a spoon.
05 - Stir in Parmesan cheese until melted and smooth. Season with salt, black pepper, and a pinch of nutmeg. Return the sautéed mushrooms to the skillet and toss to combine.
06 - Add drained pasta to the sauce and toss gently until every strand is evenly coated. Add reserved pasta water one splash at a time if the sauce needs loosening. Taste and adjust seasoning. Remove from heat, sprinkle with fresh herbs, and serve immediately with extra Parmesan alongside.