Can I use a different pasta shape?
Yes. Any medium pasta (penne, rigatoni, farfalle) works. Fusilli's ridges hold the creamy sauce well, but personal preference is fine.
Can I make this ahead?
Cook pasta separately and store sauce and pasta in separate containers for up to 3 days. Reheat gently on the stovetop, thinning with pasta water if needed.
What if I don't have cream cheese?
Substitute heavy cream (1/4 cup), sour cream, or ricotta. Cream cheese creates the richest texture, but alternatives work and taste good.
How do I prevent the sauce from breaking?
Keep heat at medium-low when adding cream cheese, stir constantly, and cube it small for even melting. Don't boil vigorously.
Is this recipe scalable?
Yes. Double all ingredients for 8 servings. Increase cook times slightly for larger quantities of beef and sauce.