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Step 1
Cook the spaghetti in a large pot of generously salted water.
Step 2
While the spaghetti cooks, whisk together the milk and egg in a small bowl.
Step 3
Once the pasta is cooked al dente, drain.
Step 4
Put the drained pasta back into the cooking pot. Turn the heat to low, add the milk/egg mixture and butter, and stir just until the milk thickens and coats the noodles, a minute or so.
Step 5
Remove from heat. Add the cheese and stir again. Taste and add salt and pepper to taste. If the pasta gets too sticky, thin it with a little more milk.
Step 6
Serve immediately with more Pecorino Romano at the table.