Prep the slow cooker: Lightly grease the insert with a bit of butter or cooking spray to prevent sticking.
Layer the base: Add chicken to the bottom. Sprinkle with Italian seasoning, onion powder, salt, and pepper.
Scatter minced garlic over the top.
Add dairy and broth: Pour in chicken broth and heavy cream. Dot the chicken with butter and cream cheese cubes. Sprinkle Parmesan over everything.
Cook low and slow: Cover and cook on Low for 3.5–4.5 hours or on High for 2–3 hours, until the chicken reaches 165°F and is very tender.
Avoid lifting the lid too often; heat loss extends cook time.
Shred the chicken: Remove the chicken to a plate and shred with two forks, or slice if you prefer chunks. Return it to the sauce and stir.
Finish the sauce: Stir well to melt any remaining cream cheese. If the sauce seems too thick, add a splash of warm broth or pasta water.
If too thin, let it cook uncovered for 10–15 minutes to reduce, or whisk in 1–2 tablespoons grated Parmesan.
Cook the pasta: About 15 minutes before serving, boil pasta in salted water until al dente. Reserve 1/2 cup of the starchy pasta water.
Combine: Drain pasta and add it to the crockpot sauce. Toss gently, adding reserved pasta water as needed to loosen and help the sauce cling.
Optional veggies: Stir in baby spinach to wilt for 2–3 minutes, or fold in sautéed mushrooms or thawed peas at the end.
Serve: Taste and adjust salt and pepper.
Garnish with chopped parsley and extra Parmesan. Serve warm.