-
Cook beef in a large Dutch oven until almost completely brown
-
Drain beef and return to Dutch oven and continue cooking until completely cooked through
-
Add onions and cook until almost soft (3-4 minutes)
-
Add garlic and cook 2 minutes
-
Add tomato sauce, tomatoes, water and seasonings, bring to a boil, cover, reduce to low and cook about 20 minutes
-
Add macaroni, cover, and cook until tender - about 25-30 minutes