Bring a large pot of salted water to a boil. In a separate skillet, heat olive oil over medium to medium-low heat.
2 tbsp Olive oil
Add onions to the skillet and cook for about 6 minutes until softened and slightly colored. Avoid burning.
1 cup Onion
Add garlic to the skillet and cook until fragrant, about 1 minute. Stir in the tomato paste and red pepper flakes.
3 cloves Garlic, 6 oz Tomato paste, 1/4 tsp Red pepper flakes
Drop pasta into the boiling water and cook until 1 minute less than al dente.
1 lb Pasta
Cook the tomato paste for 5 minutes, stirring continuously. Add vodka and white wine to the skillet, increase heat to high, and bring to a boil. Reduce the mixture by half.
1/2 cup Vodka, 1/2 cup White wine
Add one cup of reserved pasta water to the skillet and reduce heat to a simmer.
1-2 cups Reserved pasta water
Stir in half and half and nutmeg, continue to simmer, mixing well. Season with kosher salt and black pepper to taste.
1 cup Half and Half, 1 tsp Kosher salt, 1/2 tsp Black pepper, 1/8 tsp Ground nutmeg
Add cooked pasta to the sauce, mixing well to coat. Simmer until pasta is al dente.
Stir in Pecorino Romano cheese until well combined. Adjust seasoning if necessary.
1/2 cup Pecorino Romano
Garnish with basil or parsley and serve immediately.
Basil or parsley