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In a pot on the stove, bring water to a boil and boil the fiddleheads for about 10-12 minutes until they are soft. This helps to remove some of the bitterness, so you will want to dump this water and start a new pot for your spaghetti.
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Set a pot of water to boil for spaghetti and cook according to package instructions while you complete the next steps.
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In a pan, melt your butter or add your oil. Add fiddleheads, and sauté until lightly browned (about 5 minutes), stirring frequently. Add garlic, bacon and optional onion and/or mushrooms.
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Cook until the vegetables are soft and the bacon is crispy.
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Add your cream and stir.
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Add your spaghetti to the pan and stir until everything is combined.
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Serve with optional parmesan cheese sprinkled over the top.