Bring 4 cups of water to a boil in a large pot. Add salt and a few drops of olive oil. Cook the fusili pasta for 7 to 10 minutes until al dente. Drain and rinse with cold water.
Pressure cook the beetroot with a small amount of water for 3 to 4 whistles until soft. Let cool, then peel and chop.
Blend the chopped beetroot, red chilies, garlic, and olive oil, adding reserved beetroot water gradually until smooth.
Combine the beetroot sauce with the cooked pasta, mixing well. Serve garnished with cheese, mixed herbs, lemon juice, and spring onions.
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Notes
Store leftovers in an airtight container in the fridge for up to 2 days. Reheat gently.