Step 1

Heat a large skillet over medium-high heat.

Step 2

Add the ground beef and onions to it. Cook the beef until browned on all sides, breaking lumps with a wooden spoon.

Step 3

Add the tomato paste and garlic paste to the skillet. Stir everything and cook for 1 minute.

Step 4

Add the Worcestershire sauce, elbow macaroni, and beef stock to the skillet. Give it a good stir. Cover the skillet with a lid and cook for 5 minutes.

Step 5

Remove the lid and add in the sour cream, milk, and cheddar cheese.

Step 6

Cook, gently stirring, for 3 minutes.

Step 7

Serve warm, garnished with fresh chopped parsley.