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Export 12 ingredients for grocery delivery
Step 1
In a 5 quart pan, cook and crumble beef over medium-high heat until no longer pink.
Step 2
Add the onion, green pepper, and mushrooms. Cook until tender, about 3-5 minutes. Drain if desired.
Step 3
Add beef mixture back to the pot and add garlic, water, tomato sauce, tomatoes, Italian seasoning, paprika, sugar, crushed red pepper flakes, Worcestershire sauce, salt, and pepper.
Step 4
Bring to a boil, cover and reduce heat to medium-low. Allow to simmer for 15-20 minutes.
Step 5
Add the elbow macaroni and stir well. Return lid and continue to simmer for 15 minutes or until the noodles are done.
Step 6
Allow to sit covered for 5-10 minutes and mix well before serving.
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