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Salt the sliced zucchini and let it drain over a colander, then squeeze out the liquid and discard it.
Combine the drained zucchini with garlic, basil, olive oil, lemon zest, lemon juice, crushed red pepper flakes, pepper, and more salt. Toss to combine and let the flavors meld.
Cook the pasta according to package instructions.
Incorporate cream cheese, butter, and Parmesan into the cooked pasta to create a creamy sauce.
Toss the zucchini mixture into the pasta sauce until well combined.