Step 1

Cook and drain fat from the beef and Italian sausage.

Step 2

Spray slow cooker with cooking spray.

Step 3

Add all ingredients except the pasta, water, and cheese to slow cooker.

Step 4

Cook on low 7-8 hours

Step 5

Add the pasta and water to slow cooker 30 minutes before cooking time is done. Stir and let cook 30 minutes.

Step 6

Sprinkle with cheese and enjoy!