Spaghetti and meatballs is an Italian and Italian-American dish consisting of spaghetti, tomato sauce and meatballs.
Although it is often mostly erroneously claimed that this dish is not found in Italy, combinations of pasta with meat date back at least to the Middle Ages, and pasta (including long pasta) dishes with tomato sauce and meatballs are documented in certain Italian regions and in modern Italian cookbooks as maccheroni alle polpette (translated as "spaghetti with meatballs") and maccheroni alla chitarra con polpette, though these dishes are often found only in particular regions and towns. They are especially popular in certain areas of Southern Italy, from where most Italian immigrants to the United States emigrated, though generally the version served in Southern Italy features smaller meatballs than the current Italian-American and Italian immigrant version.