At Filippi's Pizza Grotto in Little Italy, the Spaghetti with Meatball pairs a mound of spaghetti with a single large meatball and red sauce. The meatball is served as the focal point of the dish, giving a more traditional Italian-American presentation where the meatball is substantial rather than many smaller pieces. The pasta usually comes well-coated in marinara with the meatball resting on top, making for a simple, hearty plate that emphasizes comfort over embellishment. Photos and reviews consistently point to this spaghetti preparation as a staple choice for diners seeking straightforward, nostalgic Italian fare.