Carbonara (Guanciale, Egg, and Pecorino Romano)
Peer reviewed by UK recipe editorsAuthored by UK recipe editorsOriginally published 11 Mar 2026
Meets Patient’s editorial guidelines
- DownloadDownload
- Share
- Language
- Discussion
- Audio Version
This authentic spaghetti carbonara is a masterclass in Italian simplicity, relying on high-quality ingredients to create a rich and comforting meal. By using traditional guanciale and sharp pecorino romano, you achieve a depth of savoury flavour that bacon simply cannot replicate. The sauce is created entirely from the emulsion of fresh eggs and melted cheese, coating every strand of pasta in a glossy, velvet-like finish that feels truly indulgent.
As a high-protein option, this dish is surprisingly filling and perfect for a quick weeknight dinner or a sophisticated weekend lunch. The secret to success lies in the temperature control, ensuring the eggs thicken into a creamy sauce rather than scrambling. Serve this homemade favourite in pre-heated bowls with an extra crack of black pepper for a truly restaurant-quality experience at home.
In this article:
Video picks
Continue reading below
Ingredients for Carbonara (Guanciale, Egg, and Pecorino Romano)
110g guanciale, cut into 1/4-inch (1/2-centimeter) dice
2 generous tablespoons extra virgin olive oil, preferably lightly fruity
3 large eggs, at room temperature
10 rounded tablespoons (100 grams) freshly grated pecorino romano, or half pecorino romano and half parmigiano-reggiano
freshly ground black pepper
450g pasta
How to make Carbonara (Guanciale, Egg, and Pecorino Romano)
Back to contentsPut the guanciale and oil in a large skillet. Sauté over medium heat until the edges of the guanciale pieces are just turning brown, about 2 minutes. Don't let it get too crisp. Set the pan and its contents aside but keep warm.
Bring 5L of water to a boil in an 8-litre pot over high heat. When the water boils, add 3 tablespoons kosher salt, then add the pasta and cook, stirring occasionally, until al dente.
While the pasta is cooking, break the eggs into a small bowl and add all the cheese and a generous grinding of pepper. Whisk gently until the mixture is smooth.
Drain the pasta (reserving and keeping warm a cup of its water) and put it in the skillet with the guanciale over low heat. Toss quickly to mix well.
Holding the skillet slightly above but not touching the burner, pour the egg and cheese mixture in a stream into the pasta. Now, if you have the skill, toss the pasta with a deft movement of the wrist to blend all the contents of the pan. If you don't, remove the pan from the heat and mix quickly with two wooden spoons. If you have a warm spot, such as a food warmer or even over a pilot light, rest the pan there while you work.
Whatever you do, work fast or the pasta will get cold and the eggs will stay raw and runny. Ideally the heat of the pasta will cook the egg just enough, and the sauce should be creamy. You can mix in a tiny bit of the reserved water to smooth things out, but you probably won't need to.
Transfer to individual heated bowls or plates and serve instantaneously.
Disclaimer
While every effort has been made to ensure the information is accurate and up to date, individual needs may vary and dietary requirements can differ based on personal health conditions. Always check food labels and allergen information before preparing or consuming any recipe. If you have specific health concerns, allergies, intolerances, or are following a medically prescribed diet, seek advice from your GP, pharmacist, or a registered dietitian before making significant changes to your diet or lifestyle.
Article history
The information on this page is peer reviewed by qualified clinicians.
11 Mar 2026 | Originally published
Authored by:
UK recipe editors
Peer reviewed by
UK recipe editors

Ask, share, connect.
Browse discussions, ask questions, and share experiences across hundreds of health topics.

Feeling unwell?
Assess your symptoms online for free
Sign up to the Patient newsletter
Your weekly dose of clear, trustworthy health advice - written to help you feel informed, confident and in control.
By subscribing you accept our Privacy Policy. You can unsubscribe at any time. We never sell your data.