Bring a large pot of salted water to a boil. Add pasta and cook according to package instructions until al dente. Reserve 1/2 cup pasta water, drain, and set aside.
Heat 1 tbsp olive oil in a skillet over medium-high heat. Add beef and season with salt, pepper, paprika, and Italian seasoning. Cook for 4–5 minutes until browned. Remove and set aside.
In the same skillet, melt butter. Add garlic and sauté 30 seconds. Pour in beef broth and deglaze the skillet. Stir in cream, Parmesan, Worcestershire sauce, and red pepper flakes. Simmer for 3–4 minutes until thickened.
Return beef to the skillet. Add cooked pasta and toss to coat. If sauce is too thick, add reserved pasta water a little at a time.
Plate the pasta, garnish with parsley and extra Parmesan, and enjoy hot.