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A few tomatoes are broiled, skinned and mixed with a small amount of chopped ham, onion and some salt, oil, basil and other spices. This mixture is boiled and passed through a sieve and a clove of garlic is added, but removed before the sauce is passed through the sieve.
Marinara sauce is another term used to refer to tomato sauce without meat, generally referring to tomato sauce with blends of seasonings or spices mixed into it.
See also: ketchup
Source: The Cook's Decameron: A Study In Taste, Containing Over Two Hundred Recipes For Italian Dishes from a project that puts out-of-copyright texts into the public domain. This is from a very old source, and reflects the cooking at the turn of the last century.