Combine ground beef, rice, bread crumbs, onion, garlic, salt, pepper, cayenne (optional) and poultry seasoning (optional) and form into 2 inch meatballs (roughly 20).
1 Lb Ground Beef, 1 C Crumbs, 1 Small Onion, 1 Clove Garlic, 1 tsp Cayenne Powder, 2 tsp Poultry Seasoning, Salt and Pepper to Taste, 3/4 C Rice
The next step depends on your method of cooking:
If baking, place the meatballs in a 9x13 baking dish. Mix the water, tomato sauce and Worcestershire sauce and pour over the meatballs. Cover with foil and bake one hour at 350. Uncover and bake an additional 15 minutes.
If cooking on stovetop, place the meatballs into a wide bottomed pot and brown on one side. You can attempt to turn them and brown on multiple sides, but they really like to fall apart. Mix the water, tomato sauce and Worcestershire sauce and pour over the meatballs. Simmer, uncovered, for at least thirty minutes until the sauce is thickened and the meatballs are cooked through. Add more water if the sauce gets too thick.
1 Can Tomato Sauce, 2 Tbsp Worcestershire Sauce, 2 C Water
If cooking in a crockpot or instant pot, place the meatballs in the pot. Mix the water, tomato sauce and Worcestershire sauce and pour over the meatballs. Slow cook on high for at least two hours. Four preferred.
Once cooked or baked, add salt and pepper to the sauce as desired.
Salt and Pepper to Taste
Serve five meatballs per person over rice.