Step 1

Bring a large pot of water to a boil. Add salt to taste, then cook the pasta 2-3 minutes short of the package instructions. Carefully ladle out ½ cup pasta water and set aside. Drain the pasta and set aside.

Step 2

Meanwhile, heat 1 tablespoon of olive oil in a large skillet over medium heat. Add the onion, zucchini and carrot, sprinkle with ½ teaspoon salt, then cook until softened, about 3-5 minutes, stirring occasionally.

Step 3

Turn the heat to medium high, add the remaining 1 tablespoon of olive oil, turkey, ¼ teaspoon salt and Italian seasoning. Break the turkey into small pieces, then cook until browned and cooked through, about 3-5 minutes.

Step 4

Add the garlic and cook until fragrant, about 1 minute. Add the marinara sauce, stir, cover and bring to a strong simmer. Reduce to a low simmer and cook, covered, for 15 minutes, stirring occasionally.

Step 5

Add the cream cheese, stirring until well incorporated. Add the drained pasta along with the pasta cooking water, stirring to combine. Simmer, uncovered, until the sauce thickens, about 3 minutes.

Step 6

Serve sprinkled with parmesan cheese and fresh basil if desired.