Strozzapreti, meaning priest choker or strangler, look like large trofie or an elongated version of casarecce . Slight variations of this usually hand rolled pasta are traditional in most of Central Italy, especially Emilia-Romagna, Umbria, Tuscany and Marche. However, it's also quite popular in the South.
Our recommendation:
In Emilia-Romagna strozzapreti are normally served with a mixed minced meat or sausage ragu but they can also be combined with vegetarian sauces such as a traditional tomato sauce or with seafood, especially in coastal areas. In Marche, you can find them eaten with a pancetta based sauce A maybe less traditional but still delicious idea is serving them with pesto.