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The crab gravy would be served with an undressed pasta, usually spaghetti, though I always asked for angel hair.
WSJ: Endless-Summer Baked Blue Crab
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The meatballs were added to the gravy and served with special pasta such as cavatelli, a small, hand-rolled shell pasta that was more expensive than spaghetti or penne and therefore reserved for special meals.
NPR: Savoring Memories of Sunday Dinner
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Their pasta offerings include the especially popular pici, a thick spaghetti typical to the region.
BBC: Two days in Siena, Italy