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Because the Knife was created before the Fork.
Fork and knife
Because who ever touch the fork or knife had a disease
in 1643 when a monster brown in to the bathroom and fell then the toilet
Fork on left and knife on right. If you have lots of courses you work from the inside to the outside. You would have a smaller fork for starter then work outside for the rest.
twist the pasta around the fork or knife and then stick the whole thing in your mouth.
A knife is a wedge.
You put your knife and fork side by side across the plate.
Italian people are no different than anyone else and yes, they do use a knife and fork and in some cases use a fork with a spoon to twirl their pasta around the fork so it does not splatter everywhere.
With your fork and knife.
Knife and fork
with a knife and fork