01 -
Set oven temperature to 350°F.
02 -
Bring a large pot of salted water to a boil. Add elbow macaroni and cook for 3 minutes less than package directions. Drain thoroughly.
03 -
Heat a large skillet over high heat. Add ground beef and chopped onions. Break apart the beef and cook for 6 to 7 minutes until browned. Drain excess fat.
04 -
Add minced garlic to the skillet and cook until fragrant, approximately 1 minute.
05 -
Stir in Worcestershire sauce, tomato sauce, diced tomatoes, Italian seasoning, salt, and black pepper. Mix thoroughly and taste to adjust seasonings if desired.
06 -
Add cooked macaroni and shredded cheddar cheese to the skillet. Stir until well combined.
07 -
If the skillet is oven-safe, place it directly in the oven. Otherwise, transfer contents to a casserole dish. Bake for 20 to 25 minutes until bubbly and cheese is fully melted. Serve immediately.