Can you make pasta without a pasta maker?

Yes, you can roll it out. You could probably make fettuccini if you have a steady hand, you can make ravioli. I couldn't make spaghetti, maybe you could.

You could buy a cutter like the one below

Wow, this lady made some easy home made tagliatelle all by hand.

if you think you would do it more than once buy something to make it. There is Nothing like homemade pasta. The taste is totally different. If you want to make fettucine I think after you roll the dough out, you can roll it up and then cut thin slices. I have an old Oster mixer that has the attachment to make pasta. It's about 40 years old but I can't give it up because I can also peel and seed my tomatoes with it. My Kitchen Aid mixer has an attachment that you can buy but I am waiting until the Oster dies out.

You can, but it's a big to-do, and a bit of a process..

How many centuries have people on the Italian peninsula been doing this without machines or electricity?

That looks so good at R2!

It's labor intensive, but so good.

This Italian lady just made the most amazing looking lasagna.

You can get a chitarra pasta cutter for about $40, which makes a square cut pasta similar to spaghetti and linguine. If you are going to make your own pasta regularly, it would be a worthwhile investment

I came here to mention the Pasta Grannies. They are pretty amazing. Are you making egg pasta or just water. For egg pasta, keep this in mind: the standard recipe is one egg per 100 g of Tipo 00 flour. But our standard large eggs are smaller than the eggs used in Italy. So use extra-large eggs.

R5 Nit to mention places like China with their egg noodles.