01 -
In a large skillet, brown and crumble the ground beef with diced onion and green bell pepper over medium heat until the beef is fully cooked and the vegetables are softened. Drain excess grease.
02 -
Transfer the beef mixture into a 4-6 quart slow cooker. Stir in garlic, pasta sauce, tomato sauce, diced tomatoes, water, Italian seasoning, and granulated sugar. Do not add macaroni yet.
03 -
Cover and cook on low for 8-10 hours or on high for 2-4 hours, allowing flavors to meld and sauce to simmer gently.
04 -
During the last hour of cooking, stir in the elbow macaroni, cover again, and cook until noodles are al dente or to desired tenderness.
05 -
Stir gently and serve warm. Pairs well with garlic bread and a fresh salad.