This genre of chili is rightfully more of a spaghetti topping or sauce than it is a traditional chili and has an addictive quality. It's also a popular late-nite after-bar food in the area along with White Castle hamburgers.
This goop is spooned on pasta (of all things!) and topped off with ingredients such as chopped onions, shredded Cheddar cheese, beans, and crushed oyster crackers. Cincinnatians who specify Five-Way Chili get the works: all of that.