My favorite food is spaghetti and meatballs.
Oh yes, have you ever had them made by a real Italian?
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-
begins with the quatrain
On top of spaghettibr
All covered with cheese,br
I lost my poor meatballbr
When somebody sneezed.
This version, too, seems to have entered modern folklore and is widely known to children; one source writes of the original "On Top of Old Smoky", "if you can listen to it and not think about spaghetti, sneezing and meatballs, more power to you." Some of "On Top of Spaghetti" was sung by DJ & Stephanie in an episode