I love making egg, semolina, and wheat pasta at home, but my home pasta maker (a KitchenAid attachment with a roller and two cutter blades) does only basic fettucini and spaghetti shapes plus whatever I cut the sheets to myself. Is it possible using either a by-hand technique or another machine to make elbow pasta or other round shapes at home, or is this something I have to stick to buying?
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You should be able to buy a pasta plate that will get you what you need.
The link is not a recommendation, just am example of what you are looking for.

Carey Gregory
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sarge_smith
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I googled like crazy for this for asking here and somehow missed this - probably because I was looking at the KitchenAid pasta roller sets and not the grinder attachment. So many attachments... – justkt Aug 09 '10 at 18:43
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I know, the world of home pasta is a little confusing to get into, but well worth the effort once you get the basics down. – sarge_smith Aug 09 '10 at 21:53
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I just saw a machine for elbow macaroni called "pasta perfetto 900". May be foreign but was definitely making elbows
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1Welcome! Note that this site has users from all over the world so describing something as "foreign" is meaningless: any item you could mention is "foreign" to probably most people here. – David Richerby Oct 20 '16 at 16:33