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Drain the soaked cashews and transfer them to a blender with 1/2 cup water. Blend on high until completely smooth and no graininess remains, about 2 minutes. Set aside.
Bring a large pot of generously salted water to a boil. Cook the fettuccine according to package directions until al dente, tender with a slight resistance at the center. Before draining, scoop out at least 1/2 cup of pasta water and set it aside. Drain the pasta and set aside.
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