Bring a large pot of water to a boil and add a generous sprinkling of salt.
Pat dry the chicken breasts with a paper towel, trim off any excess fat, and season generously on both sides with salt, pepper, garlic powder, and Italian seasoning.
Heat oil in a large skillet over medium-high heat. Once it's hot, add the chicken and cook for 5-6 minutes on each side or until the chicken reaches an internal temperature of 165 degrees F.
While the chicken cooks, cook the pasta until it's al dente and reserve about ¼ cup of pasta water before draining the pasta.
Once the chicken is fully cooked through, remove it from the skillet and set it aside. Let it rest for a few minutes before slicing it.
Add the butter, garlic, and red pepper flakes to the skillet and cook for a few seconds.
Stir in the heavy cream and scrape the bottom of the skillet to release all those delicious browned bits. Reduce the heat to low and simmer until the sauce begins to thicken. Gradually stir in the freshly grated Parmesan cheese until melted and smooth. Season with salt and pepper.
Add the cooked fettuccine and about ¼ cup of reserved pasta water. Toss until the pasta is evenly coated, adding more pasta water as needed to reach your desired consistency. Top it off with the sliced chicken, check for seasoning, and enjoy!