Here's another example of pasta with meatballs in a tomato sauce: https://www.youtube.com/watch?v=dVojdV6NDR4 https://www.youtube.com/watch?v=dVojdV6NDR4 Highl

Here's another example of pasta with meatballs in a tomato sauce: https://www.youtube.com/watch?v=dVojdV6NDR4 https://www.youtube.com/watch?v=dVojdV6NDR4 Highly recommended Youtube channel, by the way. It's just Italian grandmas making amazing food full of love, kneading pasta by hand and generally being delightful. Plenty of dishes combining pasta and meat, also in the cookbook that was published in 2019. So I figure the article was trying to hint that the presentation of US-style spaghetti and meatballs is what would upset Italians. The meatballs should be marble-sized.