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Export 8 ingredients for grocery delivery
Step 1
Brown ground beef and diced onions in a large skillet. Drain excess grease if needed and add back to skillet. Season beef with salt and pepper.
Step 2
Add garlic, uncooked elbow macaroni, water, stewed tomatoes, tomato sauce, sugar and Italian seasoning to the skillet with the ground beef. Stir until mixed.
Step 3
Cook over medium low heat at a low simmer until the elbow macaroni is cooked to desired texture, approximately 10 minutes. If the pasta soaks up all the liquid and isn't cooked through, add a little bit more water.
Step 4
Season with salt and pepper to taste. Top with grated Parmesan if desired.
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