Cook the pasta to al Dente according to package directions. Don’t forget to salt the pasta water. Drain the pasta, but reserve ⅓ cup of pasta water. Transfer pasta to a large bowl and set aside. In a saucepan over medium heat add the pasta water and heavy cream and bring to a simmer. Add ½ cup Romano cheese and pepper and whisk. Simmer for 2-3 minutes to let the sauce thicken and remove from heat.
In a small skillet over medium heat, add the butter and chopped zucchini and saute until it softens. Remove from heat and set aside.
To the pasta, add the tomatoes, zucchini, ½ cup Romano cheese, artichoke hearts and pancetta/bacon (if using). Add the cheese and pepper sauce and mix well carefully. Transfer to your favorite serving dish and sprinkle the top with a little more cheese. Serve and eat while still warm or chill to serve cold later. Enjoy!