At Pepper's, wide fettuccine noodles are served in a cream-based Alfredo sauce with butter, parmesan, and optional additions like chicken, with bread or salad often on the side. The kitchen treats this as a staple of its Italian lineup, with a sauce that aims for a smooth texture and moderate richness rather than overly thick heaviness. The pasta arrives coated but not swimming, and the dish eats as a comforting, satisfying plate that works both as a main course and as something to share alongside pizza. Feedback from various sources points to Pepper’s range of pastas as a core element of its menu for Lakewood diners.