We recently ate lunch at Alfredo's and had the chocolate/Nutella cake and the panacotta for dessert. The waiter brought out a tray with about 6 or 7 choices, but I can't remember what else was offered, except tiramisu, as the previous poster mentioned.
We hadn't eaten there in a few years, but it was a beautiful afternoon, our last day at WDW, and decided we'd try to get an outside table to enjoy the view and the weather. It was a very pleasant lunch and the waiter was great.