Heat the Teton Waters Ranch Homestyle Meatballs in a large skillet according to package directions until heated through and lightly browned. Remove from skillet and set aside.
In the same skillet, melt butter over medium heat. Whisk in flour and cook for about 1–2 minutes until lightly golden.
Gradually whisk in beef broth, stirring constantly to prevent lumps. Bring to a gentle simmer.
Stir in heavy cream, Worcestershire sauce, Dijon mustard, garlic powder, onion powder, pepper, and salt to taste. Simmer 3–5 minutes until thick and creamy.
Return the meatballs to the skillet and gently toss to coat in the gravy. Warm through for about 3–4 minutes.
Spoon meatballs and gravy over egg noodles or mashed potatoes. Garnish with chopped parsley or dill and serve immediately.