Boil the pasta until just al dente, then set aside.
Blend the whole peeled tomatoes until smooth.
Mix the beef, panko, egg, oregano, garlic powder, and salt to form meatballs.
Brown the meatballs in a pot, then set aside.
In the same pot, cook garlic until golden, then add the blended tomatoes, tomato sauce, sugar, and salt.
Return the meatballs to the pot and simmer until cooked through.
Stir in the cheddar, half-and-half, and Parmesan until melted.
Add the pasta and toss to coat, adjusting the sauce consistency with reserved pasta water if needed.
Serve the pasta and meatballs in bowls, topped with extra Parmesan. Enjoy!