Start with the gluten-free meatballs. Preheat the oven to 375 degrees.
Add the ground beef, sausage, gluten-free breadcrumbs, egg, cream, Worcestershire sauce, parmesan cheese, and seasonings in a large bowl.
Mix until all ingredients are combined.
Place parchment paper on a large rimmed baking sheet. I like to always give it a quick spray with cooking spray to assure the meatballs won't stick. If you don't have parchment paper, you can use foil or use a prepared baking sheet.
Use a medium scoop to portion out the meatball mixture. Roll each portion into a ball and place it on the cookie sheet. Continue with the remaining meatball mixture.
Bake the meatballs for 15-20 minutes or until they reach an internal temperature of 165 degrees. It's okay if they are slightly undercooked because they will continue to cook in the sauce.
While the meatballs are cooking, put together the sauce. Heat the olive oil over medium-high heat in a large stockpot (about 7 - 10 quarts).
When the oil is hot, add in the onions and cook for about 4-5 minutes or until they soften and become translucent.
Add the butter into the onions and continue cooking for 1-2 minutes or until it melts. Stir in the garlic and cook for another 2 minutes or until it becomes fragrant.
Pour in the red wine and let the wine simmer and cook down for about 4-5 minutes.
Add the crushed tomatoes, tomato sauce, tomato paste, dried basil and dried oregano.
Fill one of the 28-ounce cans with water and pour that into the pot. Give the sauce a couple of stirs to combine ingredients.
After the meatballs cook, add them into the sauce. Keep the oven set to 375 degrees.
Cook the rest of the meat. Place the Italian sausage and country pork ribs on the same baking sheet used for the meatballs. Season with salt and pepper. Bake for 30 minutes.
Add the rest of the meat to the sauce. You can even pour the meat juices into the sauce for extra flavor.
Bring the sauce to a boil and then reduce to a simmer.
Let the sauce simmer uncovered for 3 - 4 1/2 hours. The sauce should be bubbling slightly as it cooks but not boiling. If it seems to be bubbling too much, then reduce the heat. Again, don't forget to stir occasionally to keep the sauce from burning at the bottom. I recommend checking on the sauce every 15 - 30 minutes to make sure the sauce isn't boiling or burning - it should cook at a slow simmer.
Serve with al dente pasta, gluten-free garlic bread, and salad.