In U.S. cuisine, cream is used as a sauce base. it may be mixed with other ingredients such as broccoli, parsley, garlic, shrimp, or chicken. Fettuccine Alfredo has now become ubiquitous in Italian-style restaurants in the United States and internationally, although in Italy this dish is not popular at all, as wrongly believed, and it is better known if called "Fettuccine al burro" instead of "Fettuccine Alfredo".