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Alfredo pasta, also known as Fettuccine Alfredo, is not a traditional Italian dish. The dish was actually created in Rome, Italy, but it gained significant popularity in the United States, where it is often served in Italian-American restaurants.

The original Fettuccine Alfredo recipe is quite simple, consisting of fettuccine pasta tossed in butter and grated Parmesan cheese. However, the American version typically includes heavy cream, garlic, and other ingredients, making it richer and creamier.

In Italy, pasta is usually served as a first course, known as "primo piatto." Common Italian first course dishes include various pasta dishes, risotto, and soups. The main course, or "secondo piatto," typically consists of meat or fish with vegetables or salad on the side.

So, while Alfredo pasta may be enjoyed in some restaurants in Italy to cater to tourists, it is not considered a traditional main course in Italian cuisine.

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