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Fettuccine Alfredo is fake Italian food.
Alfredo's not real Italian. There's no heavy cream in Italian cuisine. Alfredo's fake Italian. He [Rick Pitino] would maybe do a lemon chicken, maybe do a lemon chicken Piccata. But Alfredo... Cacho e pepe, that's Italian. But there's no heavy cream in Italian cuisine.
Whether Alfredo is 'real' Italian is a matter of culinary debate, though it originated in Rome, it is largely considered an American-Italian staple.