Funny about spaghetti. I heard that in Italy spaghetti is considered one of the side dishes with the entrees. In the US we think the opposite.
A true Italian meal consists of antipasto, pasta, and entree of either seafood or meat, a dessert (dolce), Wine accompanying the courses and coffee and an apperitivo afterward. Perhaps some cheese and fruit too. Obviously not everyone sits down to such a meal every day. Who could? But you pretty much always always have a pasta course.