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Bring a pot of water to a boil to cook pasta. Season water with salt.
Heat oil in a large pot over medium heat. Add onion and prosciutto saute 4 - 5 minutes, add garlic and red pepper flakes and saute 1 minute longer.
Remove pan from heat and add tomatoes, vodka, season with salt and pepper to taste. Return to medium-high heat, bring to a simmer then reduce heat to medium-low and let simmer until strong alcohol scent has cooked off, about 15 minutes**, stirring occasionally.
Meanwhile cook pasta according to package directions. Reserve 1/2 cup pasta water and drain pasta.
Stir cream into sauce and let just heat through, about 1 minute. Stir in parmesan, basil and oregano.
Add drained pasta to pot with sauce, toss to coat, while thinning sauce with a little pasta water as needed. Serve warm with more parmesan and garnish with more basil if desired.