01 - Bring a large pot of generously salted water to a rolling boil. Add the fettuccine and cook according to package directions until al dente. Reserve 1/2 cup of the starchy pasta water before draining.
02 - While the pasta cooks, heat the olive oil and 2 tbsp butter in a large skillet over medium-high heat. Add the sliced mushrooms in an even layer and sauté without stirring for the first 3 minutes to develop color. Continue cooking 4 to 5 more minutes, stirring occasionally, until deeply golden and all released moisture has evaporated. Transfer the mushrooms to a plate and set aside.
03 - Reduce the heat to medium. Add the remaining 5 tbsp butter to the same skillet. Cook, swirling the pan frequently, for 3 to 4 minutes until the butter foams, then turns a warm amber color and gives off a toasted, nutty aroma. Watch carefully to prevent burning.
04 - Add the minced garlic to the browned butter and sauté for about 1 minute until fragrant and lightly golden. Pour in the heavy cream, whisking to loosen any caramelized bits from the bottom of the pan. Let the mixture simmer gently for 2 to 3 minutes until it coats the back of a spoon.
05 - Stir in the grated Parmesan until melted and smooth. Season with salt, black pepper, and a pinch of nutmeg if using. Return the seared mushrooms to the pan and toss to coat in the sauce.
06 - Add the drained pasta to the skillet and toss gently until every strand is evenly coated. Splash in the reserved pasta water a tablespoon at a time if the sauce feels too thick. Taste and adjust the seasoning. Remove from the heat, finish with chopped parsley or chives, and serve immediately with extra Parmesan alongside.