Bring a large pot of salted water to a boil.
Meanwhile, melt 2 tablespoons of the unsalted butter in a large, high-sided skillet over medium heat.
Add ½ cup panko breadcrumbs, ¼ teaspoon kosher salt, and ⅛ teaspoon red pepper flakes if using.
Cook, stirring regularly, until golden brown, about 3 minutes.
Transfer to a small bowl and wipe the skillet clean with paper towels.
Finely grate 1 ounce Parmesan cheese (about ½ packed cup) or measure out ⅓ cup store-bought grated, plus more for serving, if desired.
Finely grate 1 garlic clove.
Add 1 pound long dried pasta to the boiling water and cook for 1 minute less than the package instructions for al dente.
Reserve 1 ½ cups of the pasta water. Drain the pasta.
Place ¼ cup white or yellow miso paste and 1 cup of the pasta water in a glass measuring cup or small bowl. Whisk until smooth.
Melt the remaining 6 tablespoons unsalted butter in the reserved skillet over medium heat.
Add the garlic and cook until fragrant, 20 to 30 seconds.
Add the miso mixture and ¼ teaspoon black pepper. Whisk until mostly smooth.
Bring to a simmer. Cook, stirring regularly, until slightly thickened, 1 to 2 minutes.
Add the Parmesan cheese and whisk to combine.
Add the pasta and toss to coat. If the sauce is too thick, thin it out with more pasta water a tablespoon at a time.
Serve topped with the breadcrumbs. Taste and season with more kosher salt and black pepper as needed.
