well, I mean it's true that spaghetti and meatballs is not a thing in Italy, but in Puglia where I lived for a long time when I was young, we
often eat polpette/meatballs with tomato sauce and pasta grossa. really not that different from american spaghetti and meatballs. But anyway I still find spaghetti and meatballs amazing, no matter what any of my Italian friends say. I mean there are areas in Italy, where pasta grossa is eaten with meatballs and tomato sauce, like in Puglia. I also know in Calabria (told me by a few friends from there) they do occasionally eat pasta with polpette and tomato sauce. But I think it was a local thing only of certain areas in the south, certainly not a common thing.
And no, i'm not tlaking about pastal al forno, but actual pasta with polpette and tomato sauce:
Or even just orecchiette con le polpette; in puglia we generally fry first the meatballs, then mix them with tomato sauce and use it on pasta; this is a typical and common dish in Puglia:
Is it really that different? For me not really.
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