Preheat the Oven: Set your oven to 400°F (200°C) and line a baking sheet with parchment paper or lightly grease it.
Prepare the Meatballs: In a large bowl, mix together the ground beef, breadcrumbs, Parmesan cheese, egg, minced garlic, Italian seasoning, red pepper flakes, salt, and pepper. Stir until just combined. Shape the mixture into 1-inch meatballs and arrange them on the prepared baking sheet.
Bake the Meatballs: Place the meatballs in the preheated oven and bake for 15-20 minutes, or until they are golden and cooked through.
Cook the Pasta: While the meatballs are baking, cook the bowtie pasta in a large pot of salted water according to the package instructions. Once done, drain the pasta and set aside.
Make the Sauce: In a large skillet, heat 1 tablespoon of olive oil over medium heat. Add the butter and allow it to melt. Once melted, stir in the minced garlic and chili flakes, cooking for about 1 minute until fragrant. Pour in the heavy cream and let the sauce simmer for 2-3 minutes, until it thickens slightly.
Combine Everything: Add the baked meatballs and cooked pasta to the skillet with the garlic butter sauce. Toss to coat everything evenly in the sauce.
Serve: Garnish with fresh parsley and additional Parmesan cheese if desired.
Enjoy: Serve immediately and enjoy this creamy, spicy dish!