You roll the spaget on your fork to form a nest of sauce and pasta, THEN you stab one meatball with the tip of the fork. This has three benefits:

1: The ball keeps your pasta from falling off the fork.

2: The first thing to touch your tongue is the meatball, it's kinda like how us cool kids eat Sushi, fish side down.

3: The tight packing on the fork keeps sauce and pasta from getting stuck in my full, luscious commie beard.

In Italy, this is called scragionilicchi, the way of the fork.