01 -
Preheat the oven to 350 degrees Fahrenheit.
02 -
Bring a large pot of water to a boil, salt it lightly, and cook the elbow macaroni for 3 minutes less than the package instructions. Drain and set aside.
03 -
In a large skillet over high heat, add ground beef and chopped onions. Break the meat apart and cook until browned, about 6 to 7 minutes. Drain excess fat.
04 -
Add minced garlic to the skillet and cook until fragrant, approximately 1 minute.
05 -
Stir in Worcestershire sauce, tomato sauce, and diced tomatoes. Mix well, then add Italian seasoning, salt, and black pepper. Taste and adjust seasonings as needed.
06 -
Fold the cooked macaroni and shredded cheddar cheese into the beef mixture until evenly combined.
07 -
If your skillet is oven-safe, place it in the preheated oven, otherwise transfer the mixture to a casserole dish. Bake for 20 to 25 minutes until the cheese is melted and the mixture is bubbling.