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Bake the meatballs as directed on the package—typically at 375°F for 15–20 minutes, or until cooked through. If serving with noodles, begin boiling them while the meatballs are in the oven.
While the meatballs bake, prepare the sauce. Melt the butter in a large skillet over medium heat. Whisk in the flour and cook for 30–60 seconds, until lightly golden. Gradually whisk in the stock until the mixture is smooth and free of lumps. If you're using fresh onion and garlic, add them in this step and cook with the butter and flour.
If not, stir in the onion powder and garlic powder, then the salt, pepper, and Worcestershire sauce. Pour in the half and half and continue to cook, stirring frequently, until the sauce has thickened to your desired consistency.
Once the meatballs are done, add them to the skillet and gently toss them in the sauce until evenly coated.
Serve warm over cooked noodles.