Cook pasta according to package instructions until al dente. Reserve ½ cup of pasta water, then drain.
In a pan, heat butter or olive oil and sauté garlic until fragrant.
Add fresh cream and gently simmer for 2–3 minutes.
Stir in cheese until melted and smooth.
Add cooked pasta and mix well, adding a splash of pasta water if needed to loosen the sauce.
Remove from heat and gently fold in the biltong.
Season lightly with salt and pepper if needed.
Serve immediately while creamy and warm.