Fettuccine is a type of pasta. It is a very flat, thick, noodle made of egg and flour. It is produced by being pressed through a pasta maker. Fettuccine is often served with alfredo sauce.
Just look at the list of ingredients: fettuccini (Italian), miso (Japanese), chili paste with garlic (Chinese, though other Asian cuisines have a version of this as well), and the usual staples.
What I like about this dish is that it is familiar (a tomato-based seafood fettuccini) and unusual at the same time.
Peel and devein the shrimp, scrub and debeard the mussels.