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Spaghetti And Meatballs Or Spaghetti With Meatballs Is An Italian-American Dish Consisting Of Spaghetti, Tomato Sauce And Meatballs. It Is Most Similar To The Italian Dish Maccheroni Alla Chitarra Con Polpette. Spaghetti And Meatballs Was An Innovation Of Italian Immigrants In New York City, Who Had Access To A More Plentiful Meat Supply Than In Italy