Preheat oven to 375°F and grease a 9x13” baking dish.
Add pasta, marinara sauce, water, and meatballs to the dish. Stir to combine.
Cover tightly with foil and bake for 35 minutes.
Remove from oven, stir, and check pasta for doneness. If needed, bake uncovered for 5–10 more minutes.
Sprinkle mozzarella cheese over the top. Return to oven uncovered and bake for another 5–10 minutes until cheese is melted and bubbly.
Let sit for 5 minutes, then garnish with fresh basil, Parmesan, or red pepper flakes before serving.