01 -
In a large skillet, cook ground beef, diced onion, and green bell pepper over medium heat until beef is no longer pink and vegetables are softened. Drain excess grease.
02 -
Transfer the beef mixture to a 4-6 quart slow cooker. Stir in minced garlic, pasta sauce, tomato sauce, diced tomatoes, water, Italian seasoning, and 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.
04 -
During the last hour of cooking, stir in elbow macaroni, cover again, and cook until the pasta reaches desired tenderness.
05 -
Serve hot, optionally with fresh garlic bread and salad.