Pici pasta with Cacio e Pepe is a simple yet delicious Tuscan dish. Pici is a thick, hand-rolled pasta that is similar to spaghetti. It is cooked until al dente and then tossed with a sauce made from pecorino cheese and black pepper. The cheese melts and coats the pasta, creating a creamy and flavorful dish. Pici pasta with Cacio e Pepe is a popular choice among locals and visitors alike.