I substituted fat free half and half to be health conscious, and it didn't thicken up as well as cream but the flavor of this dish was still amazing. I also used 1 tsp of black pepper, 1 tsp of red pepper flakes, and 1 tsp of cajun seasoning, instead of all the pepper called for. Added the seafood last so as not to overcook. UPDATE: I used 2 c of skim milk with 2 Tbsp of flour, and the consistency was perfect! An extremely flavorful no fat cream sauce at last! :) Instead of the salt and peppers called for in this dish, I use 2 tsp of cajun seasoning (has a lot of salt in it), NO additional salt, 1 tsp of black pepper, and 3/4 tsp red pepper flakes. Zesty and spicy!
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I substituted fat free half and half to be health conscious, and it didn't thicken up as well...