There are so many Italian dishes that have become very popular all over the world, and many just like spaghetti and meatballs have become a combination of two famous Italian dishes.
For so many in the USA, they are a synonym for comfort food.
This Italo-American dish after it’s success in the States has taken its journey in winning over new fans in the old continent.
Perhaps this is something that your mom would make for you when you were little. A generation passes, but the spaghetti with meatballs remains as one of the staple dishes, perhaps tweaked with your special spices like peperoncini or some family secret ingredient. 😉