2. Pour in dry pasta, milk, and enough water to just barely cover the pasta. Stir to combine and bring to a gentle boil.
3. Reduce heat to a simmer and cook uncovered for 8-10 minutes, stirring frequently, until pasta is al dente and most liquid has reduced to a creamy sauce.
4. Add Parmesan cheese, salt, pepper, and Italian seasoning. Stir until cheese melts and sauce thickens. For extra creaminess, stir in cream cheese or sour cream.
5. Garnish with chopped parsley or basil and serve immediately.