In many places, fregnacce will be maltagliati, or simply very wide strips of pasta, like Lazio's fregnacce reatina or fregnacce alla sabinese, with mushrooms, tomatoes, peperoncini and black olives.
In fregnacce alla castelnovese the sauce is a pesto made with marjoram instead of basil. Fregnacce all'abruzzese rolls up the strips of pasta like cannelloni and stuffs them with meat.
Outside of the kitchen, however, fregnacce means bullshit.
Image by il nostro abruzzo