Cincinnati chili
Cincinnati chili is a Mediterranean-spiced meat sauce used as a topping for spaghetti or hot dogs ("coneys"); both dishes were developed by immigrant restaurateurs in the 1920s. Its name evokes comparison to chili con carne, but the two are dissimilar in consistency, flavor, and serving method; Cincinnati chili more closely resembles Greek pasta sauces and spiced-meat hot dog topping sauces seen in other parts of the United States. Ingredients include ground beef, water or stock, tomato paste, spices such as cinnamon, nutmeg, allspice, clove, cumin, chili powder, bay leaf, and in some home recipes unsweetened dark chocolate in a soupy consistency. Customary toppings include cheddar cheese, onions, and beans; specific combinations of toppings are known as "ways". The most popular order is a "three-way", which adds shredded cheese to the chili-topped spaghetti (a "two-way"), while a "four-way" or "five-way" adds onions and/or beans before topping with the cheese. Ways are often served with oyster crackers and a mild hot sauce. Cincinnati chili is almost never served or eaten by the bowl.
Source: Wikipedia