This is a newer variant. There is all kind of versions nowadays. But the original is vanilla ice, whipped cream, strawberry, chopped white chocolate and chopped almonds. And it is 100% the best way to eat ice cream.
how is it better than just ice cream? what do you use for meatballs? do you eat it with a fork or a spoon? do you try to make your spaghetti look loke ice cream too?
Somehow, the presentation just makes it taste better.
Usually it's served with strawberry sauce and grated white chocolate to resemble Spaghetti Napoli with parmesan since spaghetti with meatballs is more of an american thing.