FreshRealm establishments in San Clemente, Calif., Montezuma, Ga., and Indianapolis, Ind., are recalling chicken fettuccine alfredo products that may be adulterated with an outbreak strain of Listeria monocytogenes, the U.S. Department of Agriculture’s Food Safety and Inspection Service (FSIS) announced on June 17. 

Out of an abundance of caution, the company is voluntarily recalling all products produced prior to June 17, 2025, that are available in commerce under the following brand names.

The following ready-to-eat products were shipped to Kroger and Walmart retail locations nationwide [view labels]:   

• 32.8-oz. tray packages containing “MARKETSIDE GRILLED CHICKEN ALFREDO WITH FETTUCCINE Tender Pasta with Creamy Alfredo Sauce, White Meat Chicken and Shaved Parmesan Cheese” with best-by date 06/27/25 or prior.
• 12.3 oz. tray packages containing “MARKETSIDE GRILLED CHICKEN ALFREDO WITH FETTUCCINE Tender Pasta with Creamy Alfredo Sauce, White Meat Chicken, Broccoli and Shaved Parmesan Cheese” with best-by date 06/26/25 or prior.
• 12.5 oz. tray packages containing “HOME CHEF Heat & Eat Chicken Fettuccine Alfredo with pasta, grilled white meat chicken, and Parmesan cheese” with best-by date 06/19/25 or prior.        

The products bear the USDA mark of inspection on the product label as well as establishment numbers “EST. P-50784,” “EST. P-47770,” or “EST. P-47718” printed on the side of the packaging.

FSIS and public health partners are investigating an outbreak of Listeria monocytogenes that currently includes 17 ill people in 13 states. As of June 17, 2025, there have been three reported deaths and one fetal loss associated with this outbreak. 

The outbreak strain of Listeria monocytogenes was isolated from ill people on dates ranging from August 2024–May 2025. The same outbreak strain was isolated from a routine chicken fettuccine alfredo sample collected by FSIS in a FreshRealm establishment in March 2025. The lot of chicken fettuccine alfredo represented by this sample was held during sampling, destroyed, and never entered commerce. 

The subsequent investigations at the establishment that produced this product, and into the product ingredients, have not identified the source of contamination. FSIS also used purchase records from two ill people to trace purchased chicken fettuccine alfredo products to FreshRealm establishments. An additional two ill people verbally described chicken fettuccine alfredo products they purchased. FSIS identified products produced by FreshRealm that matched the descriptions during follow-up at the retail stores where they shopped. 

This investigation is ongoing. FSIS is sharing what is currently known regarding products associated with the outbreak as the agency continues to work with public health partners to identify whether a specific ingredient in the chicken fettucine alfredo may be the source of this strain of Listeria monocytogenes.

Consumption of food contaminated with Listeria monocytogenes can cause listeriosis, a serious infection that primarily affects older adults, persons with weakened immune systems, and pregnant women and their newborns. Less commonly, people outside these risk groups are affected.

FSIS is concerned that some products may be in consumers’ refrigerators or freezers. Consumers who have purchased these products are urged not to consume them. These products should be thrown away or returned to the place of purchase.