Fill a large pot with water, adding salt. Bring to a boil, add pasta, and cook until al dente. Drain and reserve a cup of pasta water.

In a skillet, melt butter over medium heat. Add minced garlic and sauté until golden.

Pour in heavy cream, stirring until it simmers and thickens.

Add Parmesan cheese and black pepper. Mix in any desired add-ins.

Fold in the cooked pasta. Adjust the sauce consistency with reserved pasta water as needed.

Serve immediately, garnished with additional cheese and black pepper.