Alfredo di Lelio opened his trattoria on Via della Scrofa in Rome in 1908 and invented fettuccine Alfredo — butter, Parmesan, fresh pasta, nothing else — to help his ailing wife eat. When Douglas Fairbanks and Mary Pickford honeymooned in Rome in 1927, they gave Alfredo a golden fork and spoon and brought the dish to America. The cream was never in the original.
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