Yes you can use other pastas, but the olive oil/tomatoe juice "sauce" seems to stick best to gemili. I've also used bowtie and fiori with fairly good results. Elbows was roundly viewed as an abject failure, as were spaghetti noodles.
Will, one thing to remember is that the garlic isn't going to really cook at all, so you're going to end up with a pretty powerful garlic taste as it is. You could definitely subsitute red pepper for the cayenne (or in addition to), but there's already black pepper in there. Since the tomatoes aren't really cooked, I don't know how the onion would turn out or even which to use (vidallia?), so let me know how it turns out for you. I'm very curious, and I can't really experiment with a pregnant wife around.
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