Step 1: Get spices ready.
Step 2: Cook pasta in heavily salted boiling water until al dente, drain saving 1/2 cup pasta water.
Step 3: Meanwhile, melt butter in a large skillet.
Step 4: Add cream, ketchup and spices.
Step 5: Whisk together and bring to a simmer.
Step 6: Continue to simmer and reduce while you continue with the rest of the recipe, stirring occasionally with a wire whisk.
Step 7: Most of the cream will boil away, leaving you with a dark orange sauce.
Step 8: In a separate small skillet, sauté mushrooms in olive oil until soft.
Step 9: Add mushrooms to simmering sauce.
Step 10: Cook shrimp (and crawfish if available) in the small skillet in olive oil just until pink and add to sauce. Simmer for about 5 minutes.
Step 11: Add pasta water.
Step 12: Toss with cooked fettuccine and simmer until thickened.
Step 13: Lightly top with finely shredded fresh parmesan.
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