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In a large pot over medium heat, heat oil. Add onion and cook until soft, about 6 minutes. Stir in zucchini, water and bouillon cube. Season with salt and pepper.
Reduce heat to low and cover pot. Cook for 4 hours, stirring often, until the zucchini is falling apart. (It will be mushy, and that's good!)
When the sauce is almost ready, bring a large pot of boiling salted water to a boil. Add pasta and cook until al dente according to package instructions. Drain and add to pot with zucchini.
Add lemon juice, Parmesan, and pepper flakes to pasta and stir well to combine. Serve topped with more Parmesan.