2 cups shell pasta
1 1/2 pounds frozen meatballs, thawed
6 tablespoons unsalted butter
1/4 + 3 tablespoons all-purpose flour
4 cups of low-sodium beef broth
1/2 cup water
1 tablespoon Worcestershire sauce
1 tablespoon dried parsley
1/2 teaspoon black pepper
1/2 cup heavy cream
Cook the pasta according to the package directions. Drain well and place in a 9×13-inch baking dish.
Add the meatballs to the baking dish nestling them into the pasta.
Preheat the oven to 375º F.
Melt the butter in a large skillet or saucepan over medium heat.
Add in the flour, stirring constantly. Continue to stir constantly for 2 minutes.
Slowly add in the beef broth and water, while stirring constantly.
Stir in the Worcestershire sauce, parsley, and black pepper. Bring the mixture to a simmer, stirring often.
Reduce the heat to medium-low and stir in the heavy cream. Continue to stir constantly until the mixture thickens, about 10 minutes.
Carefully pour the sauce over the meatballs.
Bake for 30 minutes.