Step 1

In a large cast iron pan or skillet, add ground beef, onions and garlic. Cook until no longer pink and onions are translucent. Drain, return to pan.

Step 2

Sprinkle seasonings, salt and pepper, red pepper flakes, over meat followed by hot sauce, tomato paste and flour. Stir.

Step 3

Pour milk and beef broth into pan, stir.

Step 4

Add macaroni noodles, stir and bring to a boil.

Step 5

Cover, reduce heat to low and cook for 10 minutes or until pasta is tender.

Step 6

Sprinkle with cheese, stir until melted, then add sour cream, stir and enjoy.