Cryptic crossword clue
Back home unwell after cream cake and pasta 10

The most common and most likely answer to this crossword clue is the 10 letter word TORTELLINI

I've seen this crossword clue in The Times
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Buddy explains!

The straight part
We know that "pasta" is the straight/definition part of the clue. The straight part is often a synonym or definition, in this case pasta = tortellini.
The cryptic/wordplay part
In cryptic crossword there's often an wordplay/cryptic part as well.
This part involves a more complex hint, such as an anagram, homophone, hidden word, etc.
Sadly, We don't have an explanation for this specific crossword clue yet.

What does TORTELLINI mean?

TORTELLINI noun
  1. Small, ring-shaped pasta, stuffed with meat, cheese etc; eaten with a sauce or in a soup

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