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Step 1
In a large pot over a medium-high heat, add ground beef, onions, garlic, salt, pepper, worcestershire sauce, and ketchup. Break up the beef to incorporate the seasonings and cook until browned, about 6-7 minutes.
Step 2
Pour in the beef broth and one cup of water and bring to a simmer.
Step 3
Add the pasta and simmer for 20 minutes or until the pasta is cooked throughout and the broth has cooked down, stirring occasionally.
Step 4
Pour in the milk and cheese. Stir until the cheese has melted.
Step 5
Serve garnished with some sliced green onions
Step 6
Enjoy!