This is a really good dish. I substitute rotini pasta for the fettuccine. I also add 1 can cream of mushroom soup and 1 can Rotel, (sometimes hot Rotel.) Add these in with the cheese and half and half. Really takes it up a notch! Instead of cayenne pepper I use a sprinkle of my favorite hot sauce as well. Everyone loves it!!! One more thing, I'm also from Louisiana so I always use the Louisiana crawfish tails in the store, no matter how much they cost! It's worth it. I have also made this with pieces of boneless chicken breast which have been sauteed and spagetti pasta. Pretty good as well!
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This is a really good dish. I substitute rotini pasta for the fettuccine. I also add 1 can...