Cook the pasta: Boil in well-salted water until al dente. Reserve 1 cup of pasta water before draining.
Blend the base: In a blender, add cottage cheese, milk, Parmesan, lemon juice, pepper, salt, and nutmeg.
Blend until completely smooth and creamy, 30–60 seconds. Set aside.
Sauté the garlic: In a large skillet over medium heat, melt the butter. Add minced garlic and cook until fragrant, about 30–60 seconds.
Do not brown.
Warm the sauce: Pour the blended mixture into the skillet. Stir gently over low heat for 1–2 minutes until just warmed and slightly thickened. Avoid boiling.
Adjust consistency: Add a splash of reserved pasta water to loosen, 1–2 tablespoons at a time.
The sauce should coat the back of a spoon.
Toss with pasta: Add drained pasta to the skillet and toss until every strand is coated. Taste and adjust salt, pepper, and lemon as needed.
Serve: Top with extra Parmesan and chopped parsley. Enjoy immediately for the creamiest texture.