Step 1

Preheat oven to 350 degrees.

Step 2

Bring a large pot of water to boil. Cook macaroni for 3 minute less than the box directions.  Drain.

Step 3

Heat a large skillet over high heat.  Add ground beef and onions to the pan.  Break beef apart, cooking for 6-7 minutes until browned.  Drain any fat.

Step 4

Mix in garlic and cook for 1 minute until fragrant.

Step 5

Add in worchestershire sauce, tomato sauce and diced tomatoes. Mix until combined.

Step 6

Stir in Italian seasoning, salt and pepper. Taste and adjust seasonings to taste.

Step 7

Mix in cooked macaroni and cheddar cheese. If skillet is heat safe, you can place in the oven for 20-25 minutes until bubbly and cheese is melted.  Or transfer to casserole dish and bake.