Make the Meatballs: Mix ground meat, breadcrumbs, egg, garlic, Parmesan, Italian seasoning, salt, and pepper. Roll into small balls.
Cook the Meatballs: Brown the meatballs in a pan with heated olive oil. Cook meatballs until browned and fully cooked. Remove and set aside.
Cook the Pasta: Prepare the fettuccine by boiling it in salted water until it reaches an al dente texture. Drain and set aside.
Prepare the Creamy Sauce: In the same pan, melt butter, sauté garlic, then add heavy cream, Parmesan, salt, and pepper. Simmer until thickened.
Combine Everything: Add cooked pasta and meatballs to the sauce. Toss to coat.
Serve: Garnish with extra Parmesan and red pepper flakes if desired. Enjoy!