Spiralize the squash (or buy them already spiraled).
In a large skillet, add the olive oil and heat, adding the minced garlic cloves. Cook for 1-2 minutes.
Cook the zoodles in the garlic oil for only 2 minutes. Remove from pan.
In the same pan, add the spaghetti sauce and meatballs. Cook until heated through, for about 5 minutes, on low heat.
Lay the noodles on a large platter (or individual servings), adding the spaghetti meatball sauce on top. Top with fresh tomatoes, basil, and Parmesan cheese (optional).