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In a large skillet, heat olive oil, garlic, and onion and cook until soft. Add tomato paste and cook until it starts getting darker color.
Add the heavy cream followed by vodka, and cook for one minute until the alcohol evaporates. Season with red pepper flakes, salt, and pepper, and combine well. Remove the sauce from the heat.
Cook the pasta according to the package instructions, reserving ¼ cup of the liquid, and drain it.
Add the butter to the sauce and stir over medium heat until it melts. Add pasta and cooking water to the sauce and stir well. Add parmesan and combine everything.
Serve with some chopped fresh herbs.