Yes, you can totally make this without a pasta maker. I only use the pasta maker because that is the way that I learned from Michael's grandma. If you don't have a pasta maker, feel free to use a rolling pin. To make with a rolling pin, turn the dough onto a well floured surface and, using as much flour as needed to prevent sticking, roll until approximately 1/16 inch thick. Brush excess flour from the dough. Carefully fold the dough in half, then dust with more flour and continue rolling to 1/16 inch. Slice into 2 1/2 inch rounds and roll around the cannoli tubes.