Cook pasta according to package directions. Cook to al dente, or preferred softness. Drain and then return hot pan to stovetop over medium heat.
Add olive oil and garlic. Cook for 3-4 minutes or until garlic starts to brown and becomes fragrant.
Add cream cheese, stirring while it heats and melts, approximately 3-4 minutes.
When melted, whisk in Parmesan cheese, heavy cream and pasta water until blended.
Toss with hot pasta.
Plate and top with freshly grated Parmesan cheese, flakey or coarse sea salt and freshly ground pepper.
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Notes
*You can also use milk or omit this all together. I find the cream cheese melts easier with it.**Pasta water helps to thin the sauce and coat the pasta evenly. Pasta water is a little starchy, so it works best to not thin too much and also have a tiny bit of flavor. It is also, presumably hot. if you forget to ladle this out, use the hottest water from that tap with 1 teaspoon of flour whisked in.