Premade chicken fettuccine Alfredo meals sold at Walmart and Kroger have been recalled following a multi-state listeria outbreak that has led to 17 illnesses, three deaths, and one pregnancy loss, according to the U.S. Department of Agriculture’s Food Safety and Inspection Service (FSIS).What’s Behind the Outbreak?The affected products were made by FreshRealm, a Texas-based food company. FSIS reports that the same strain of Listeria monocytogenes linked to the outbreak was found during routine testing at a FreshRealm facility in March 2025. Investigators are still working to determine whether a specific ingredient in the Alfredo meals caused the contamination.So far, cases have been reported across 13 states between August 2024 and May 2025.Which Products Were Recalled?The recall involves chicken Alfredo meals sold at Walmart under the Marketside brand and at Kroger under the Home Chef brand. Specific items include:32.8-ounce trays of “Marketside Grilled Chicken Alfredo with Fettuccine”(Best-by date: June 27, 2025, or earlier)12.3-ounce trays of “Marketside Grilled Chicken Alfredo with Broccoli”(Best-by date: June 26, 2025, or earlier)12.5-ounce trays of “Home Chef Heat & Eat Grilled Chicken Fettuccine Alfredo”(Best-by date: June 19, 2025, or earlier)Consumers can check for establishment numbers Est. P-50784, Est. P-47770, or Est. P-47718 inside the USDA inspection mark on the packaging. Only these specific products are part of the recall. Other FreshRealm meals are not affected, CNN reported.What You Should DoFSIS warns that contaminated meals may still be in home refrigerators or freezers. If you purchased any of these recalled products, do not eat them. Instead, throw them away or return them to the store where they were bought.To protect against illness, premade meals like these should always be heated to at least 165°F. Using a food thermometer is the only way to ensure the food reaches a temperature high enough to kill harmful bacteria, including listeria.What Is Listeria?As per the Centers for Disease Control and Prevention (CDC), Listeria are bacteria or germs that can contaminate many food and those who eat can get infected with the bacteria. CDC mentions that it is rare, however, could be serious, though there exists steps to prevent this infection.It is a foodborne illness caused by the bacteria L. monocytogenes. Symptoms include fever, chills, and headache. It can cause invasive illness and intestinal illness. It is also the third leading cause of deaths from foodborne illness in the US, with 1,600 people infected each year, out of which 260 die. It is especially dangerous for:Pregnant women: may lead to miscarriage, stillbirth, or premature deliveryOlder adultsPeople with weakened immune systemsSymptoms can include:FeverMuscle achesHeadacheStiff neckConfusion or loss of balanceConvulsionsIf you're in a high-risk group and experience symptoms within two months of consuming a recalled product, seek medical care immediately and mention possible listeria exposure. The illness is typically treated with antibiotics.