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Step 1
Pile the flour in the middle of a board or clean countertop. Make a well in the center, and add in the pumpkin puree.
Step 2
Using clean hands, mix together the puree and flour until it forms a stiff dough (adding more flour if needed to make it not sticky).
Step 3
Divide the dough in half, covering one half with a towel to keep it from drying out. Form remaining dough half into a disc.
Step 4
Flour a rolling pin and roll out the disc into a very thin sheet (you should almost be able to see through it in parts). Using a sharp knife or pizza cutter, cut into 1/4" wide strips. Repeat with remaining dough disc.
Step 5
To cook pasta: bring to a boil two quarts of salted water. Drop noodles into the water a few at a time. Cook for two minutes, or until all the noodles float. Drain and top with sauce.