Paccheri look like giant macaroni, and some jokingly say, pieces of a cut-up garden hose. Historically, it was a considered as a pasta for the poor because the pieces are very large and filling, so appetites could be satisfied with only a small quantity of pasta and for a low cost. This shape is often stuffed with sausage and garlic and topped with a red sauce. It is also stuffed with porcini mushrooms and served with a garlic flavored white wine sauce. Whichever way it is cooked, recipes made with paccheri are definitely hearty! They also often include a thick meat ragu or bolognese.