There is a ton going on in this recipe. First, crisp prosciutto in the oven, then grind it up with pistachios and bread (or you cheat and use panko bread crumbs), then brown butter and toast that mixture. Then, you boil the spaghetti and saute the Brussels. THEN, you make a kale/sage pesto (not even mentioned in the longest recipe title ever) and add it to the saute pan. THEN, you combine the pesto and the sprouts with the pasta and then throw in some goat cheese (again, not title-worthy) and some manchego and stir it up before you top with the panagrattato and shaved cheese and pomegranate arils.
That said, I made the full recipe on Sunday for lunches on a stressful workweek and I am delighting in it every single day. It looks like Christmas and it tastes like heaven, even if I have to check my teeth thoroughly after every dining. Highly recommended.