Prepare the pasta in boiling salted water according to the instructions on the packet. Clean and wash the zucchini. Cut into fine, long strips with a special peeler (with teeth). Peel the garlic and press it through a garlic press.
Cut the fillet into 4 pieces, wash and pat dry. Sprinkle with lemon juice and season with salt and pepper. Finely chop 2 sage leaves. Stick the remaining leaves and Parma ham with wooden skewers onto the fillet pieces.
Heat 2 tablespoons of olive oil. Fry the fish pieces on each side for 3-4 minutes. In the meantime, heat 2 tablespoons of oil in a second pan. Fry the garlic and zucchini for 2-3 minutes at medium heat.
Season with salt, pepper and chopped sage. Add the drained pasta and toss with the vegetables. Serve garnished with lemon.