Man spaghetti and meatball, now that is a meal
I love it! I love the tomato sauce and meatballs!
What do you know about it?
It was an innovation of early 20th century Italian Immigrants in New York City.
Oh really I thought for sure it was invented by America
No, it is an Italian dish. There are similar dishes to spaghetti and meatballs called passt aseduta and maccaroni azzese.
huh, well those don't sound like something I would like at all.
Italian because, in Italy, meatballs are smaller and only served with egg-based baked pasta.
However, various kinds of pasta with meat are part of the culinary tradition of the Abruzzo, Apulia, Sicily, and other parts of southern Italy. A recipe for rigatoni with meatballs is in "Il cucchiaio d'argento" ("The Silver Spoon"), a comprehensive Italian cookbook known as the "bible" of Italian cooking. 
In fact, in Abruzzo, chitarra alla teramana, is a long spaghetti-
Spaghetti with meatballs
Spaghetti and meatballs or spaghetti with meatballs is an Italian-American dish consisting of spaghetti, tomato sauce and meatballs.
History.
It is widely believed that spaghetti and meatballs was an innovation of early 20th-century Italian immigrants in New York City. The National Pasta Association (originally named the National Macaroni Manufacturers Association) is said to be the first organization to publish a recipe for it, in the 1920s.
Italian writers and chefs often mock the dish as pseudo-Italian or non-