Get out and measure your ingredients.
Place tilapia filets and shrimp in a large greased skillet.
Season tilapia and shrimp with salt and pepper.
Cook over medium heat for about 10 minutes, flipping halfway through. Shrimp is done with pink and opaque. Fish is done with white and flakey.
In a small sauce pan, whisk half and half with lemon juice, garlic powder, and paprika. Cook over medium heat until it reaches a slow boil.
Reduce heat to low and whisk in parmesan cheese, salt, and pepper. Be sure to stir often.
Continue cooking sauce for 10-15 minutes or until it thickens.
Serve each tilapia filet with 4 shrimp and a helping of lemon cream sauce.
Enjoy every bite!