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When you are too much of an uncultured swine to have the decency to make real tomato sauce for your pasta, you use ketchup instead. If this is you, find the morality to buy some jarred nasty Prego pasta sauce or whatever and toss it on your (probably not al dente) pasta.
Brenda, the spaghetti is almost ready, can you grab the ketchup? Mmm I love me some ketchup pasta!
Type of food that no italian can eat, and will do anything to remove it
Jeff: i just ate ketchup with pasta and it tasted good!
Mario: No way man, You are dead