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Step 1
Bring a medium pot of salted water to a boil and add the beets. Boil until fork tender, 15 to 20 minutes.
Step 2
Drain and rinse the beets with cold water and, using your fingers, rub the skin off the beets. Chop the beets into quarters and place them in the bowl of a food processor. Add the garlic, pistachios, lemon juice and olive oil and pulse until you have a smooth bright pink spread.
Step 3
Using a spatula, fold in the Parmesan and season with salt. Set aside.
Step 4
Bring a large pot of salted water to a boil and cook the spaghetti to al dente, according to package directions.
Step 5
Rinse the spaghetti with cool water and drain well. Toss the spaghetti with the pesto and serve immediately. Garnish with extra Parmesan and the chopped pistachios.