Mine is spaghetti amatriciana with a (very, very) lot of spicy. And pecorino cheese to taste.
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In before someone says meatball spaghetti. That’s not pasta, it’s a crime. Ask any italian.
Mine is spaghetti as well. 
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Toppings?
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Spaghetti Bolognaise with a lot of Parmesan cheese on top.
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lasagna. or gnocchi.
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I used to like that as well, the more stuffed the better. But as I grow older I just like more the simple ones lol
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Homemade lobster and crab ravioli in a spicy homemade tomato Alfredo sauce with Parmesan cheese.
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Any sort of pasta carbonara. Delish.
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That sounds amazing!
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Yeah, no tomato is an adquired taste 
Yeah, it’s a family favorite.
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Can’t go wrong with Cacio e Pepe!
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I think it’s a legitimate regional adaptation, but you are correct that the North American practice horrifies Italians. They also don’t understand how we can drink lattes in the morning - to them it’s too much dairy too early in the day.
You can absolutely serve meatballs alongside pasta.
https://www.177milkstreet.com/recipes/neapolitan-meatballs
Neapolitan meatballs are Da Bomb.
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My favourite Italian dish is Aubergine Parmigiana (Melanzane alla Parmigiana)
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It’s a little too bitter for my taste, but it’s real good!
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Carbonara is very comforting, I also like to make what I call my ossobuco pasta sauce, which is almost like bolognese but with veal shanks instead of minced meat, I love having it blipping away for 5 hours on a rainy day.
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