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Step 1
Heat oven to 375°F. Cook the pasta according to package directions. Reserve 1/4 cup of the cooking liquid, drain the pasta and return it to the pot.
Step 2
Meanwhile, spread the walnuts on a rimmed baking sheet and toast until fragrant, 6 to 8 minutes.
Step 3
While the walnuts are toasting, heat the oil in a large skillet over medium-low heat. Add the onion and 1/4 tsp each salt and pepper and cook, covered, stirring occasionally, until very tender, 6 to 8 minutes. Stir in the garlic and cook for 1 minute.
Step 4
Whisk in the milk and bring to a simmer. Whisk in the cream cheese, Parmesan and nutmeg and simmer, stirring occasionally, until slightly thickened, 2 to 3 minutes.
Step 5
Toss the pasta with the cream sauce, blue cheese and walnuts, adding some of the reserved cooking liquid if the pasta seems dry. Top with the chives.