Bring A Large Pot Of Lightly Salted Water To A Boil. Add Pasta And Cook For 8 To 10 Minutes Or Until Al Dente; Drain And Reserve. In A Large Saucepan Melt Butter Over Medium Low Heat; Add Vodka, Red Pepper Flakes And Worcestershire Sauce. Stir Well And Simmer For 5 Minutes. Blend In Tomato Sauce, Tomato Paste And Cream; Increase Heat To Bring To A Boil. Simmer For 5 Minutes Or Until Sauce Has Slightly Thickened; Season With Salt And Pepper To Taste. Reduce Heat To Very Low And Stir In Cheese; Add Cooked Pasta And More Cheese, If Desired. Serve.