Start your pasta water in a large pot—you'll need this salted water boiling before anything else touches a pan. I always make sure it tastes like the sea, which sounds dramatic but actually matters because it's your only chance to season the pasta itself. Drop the fettuccine in at a hard boil and cook until just shy of the package directions (we're going about 1-2 minutes under). Reserve one full mug of pasta water before draining everything else—this starchy water becomes your sauce secret weapon, the thing that helps cream and cheese actually stick to noodles instead of sliding off.
While pasta cooks, heat your olive oil and butter together in a large skillet over medium-high heat until the butter stops foaming. This two-fat method is personal preference, but I use it because butter brings flavor and olive oil brings heat stability—neither one alone does what you need. Add your diced chicken and let it sit undisturbed for 3-4 minutes before stirring. Don't move it around constantly; that's where cozy creamy tuscan pasta summer dishes lose their texture.
Once chicken is mostly opaque on the outside, add your minced garlic and chopped onion, stirring constantly for 2-3 minutes until everything softens and smells incredible. This is the moment I always pause and inhale, because you'll know the aromatics are ready when your kitchen smells like an Italian restaurant—sharp and garlicky but not raw. Scrape the bottom of the pan gently to catch any browned bits; those flavor particles are gold.
Toss in your chopped sun-dried tomatoes and dried oregano, stirring for about 1 minute to wake up those flavors. The tomatoes will release their oil and coat everything—that's exactly what you want. This step is why cozy creamy tuscan pasta summer tastes like actual depth instead of one-note cream.
Pour in your heavy cream and reduce heat to medium-low, stirring gently for 2-3 minutes as the cream warms through. I confess I used to boil the cream here, which caused it to break and separate—don't do that. You want steam rising but no aggressive bubbling. Whisper-quiet heat is the move.
Remove from heat and stir in both cheeses, folding gently until they melt into the sauce and everything becomes glossy and thick. This takes about 2-3 minutes of stirring—your patience here determines whether the sauce stays creamy or gets grainy. Add your cooked fettuccine directly to the skillet, then add pasta water one splash at a time, stirring to reach your preferred consistency. Start with ¼ cup and go from there; you can always add more but you can't take it back.
Stir in your fresh spinach and let it wilt directly into the warm sauce for about 30 seconds—no longer or it disappears. The green should still have presence in the final dish, adding texture and brightness against all that warmth. Taste and adjust seasoning with salt and pepper.