Bring a large pot of water to a boil. Cook the fettuccine according to the package instructions.
Pour the cream and milk into the saucepan and warm up on medium heat. You don’t want to boil the liquid.
Once you see steam starting to form on top of the liquid, add the cream cheese into the pan. Stir gently until the cheese fully melts.
Add the garlic powder, salt and pepper and stir once again.
Next, add the parmesan cheese. Stir constantly until the parmesan melts.
Add oregano and stir to combine. Cook for 2 minutes stirring constantly. Note that the sauce will continue to thicken even after cooking.
Using tongs or a spaghetti ladle remove the fettuccine from the pot and add to the saucepan with the alfredo sauce. Stir until the noodles are well coated. If the sauce is too thick, spoon pasta water into the saucepan a tablespoon at a time until desired consistency is reached.
Serve with red chili flakes and freshly grated parmesan.