Start by boiling water in a large pot and adding a pinch of salt. Once the water is at a rolling boil, add the keto pasta and cook according to package instructions until al dente. Drain the pasta in a colander and set aside.
In a medium saucepan over medium heat, pour in the heavy cream. Allow it to warm up slightly before adding in the shredded cheese. Stir continuously until the cheese is completely melted and the sauce is smooth.
Add salt and pepper to the cheese sauce, adjusting to your taste preferences. If you want to mix it up a bit, feel free to add in your favorite spices or herbs.
Once your cheese sauce is ready, add the drained keto pasta to the saucepan. Gently stir until the pasta is thoroughly coated in the creamy cheese sauce.
You can serve the Keto Mac and Cheese immediately for a creamy delight, or transfer it to an oven-safe dish and bake it at 350°F for about 15-20 minutes to achieve a bubbly, golden top.