When a woman has her period, and the blood clots in her pubic hair. The dried blood gives the impression of meat sauce on the spaghetti (the pubes).
It is a combination of 2 works called Interior Scroll where a woman painted in mud pulled a long scroll from her vagina and read a poem that.
Alright time for a real story. Me and girlfriend have always been into seeing how far we will both go for a good laugh. We've done many things.
As the camera turns away towards the audience, Stolz releases the Spaghetti-O mixture from her vagina, into the empty can of Spaghetti-Os on a platform.