It is sold at some underground concession areas near subway stations in Tokyo, Japan, and has been purveyed at the Target Field baseball park in Minneapolis, Minnesota, U.S. and in some U.S.

"[8] Some underground concession areas near subway stations in Tokyo sell the spaghetti sandwich, and it has been described as a "handy commuter snack.

[8] The Target Field baseball park in Minneapolis, Minnesota, included a spaghetti sandwich on its concessions fare in 2013, named the Spaghetti Pie Panino.

[1] It was prepared using cooked spaghetti, pasta sauce, meatballs and mozzarella cheese.

[1] A cooking variation that is used at a restaurant in Long Island City in Queens, New York City, involves using an egg wash to coat a mixture of sauce, pasta, and cheese, and then baking it into a patty using a blini pan.