Creating Pesto Alfredo Tortellini is a breeze if you follow these simple steps:

1. Cook Tortellini: In a large pot of boiling salted water, cook the tortellini according to package instructions. Drain and set aside.
2. Make the Sauce: In a large skillet over medium heat, melt the butter. Add the minced garlic and sauté until fragrant, about 1 minute.
3. Add Cream: Pour in the heavy cream and stir well. Bring to a gentle simmer.
4. Incorporate Cheese: Gradually add the grated Parmesan cheese, stirring until melted and smooth.
5. Add Pesto: Stir in the basil pesto, mixing until fully combined. Season with salt and pepper to taste.
6. Combine Tortellini: Add the cooked tortellini to the sauce, tossing gently to coat each piece evenly.
7. Heat Thoroughly: Allow the tortellini to heat through for an additional 2-3 minutes.
8. Garnish: Serve hot, garnished with fresh basil leaves and additional Parmesan cheese.

Following these steps will result in a delicious Pesto Alfredo Tortellini that is sure to impress!