01 -
Set the oven to 350°F (177°C).
02 -
Bring a large pot of salted water to a boil. Add elbow macaroni and cook for 3 minutes less than the package indicates. Drain thoroughly.
03 -
Heat a large skillet over high heat. Add ground beef and chopped onions, breaking up the meat. Cook until beef is well browned, about 6 to 7 minutes. Drain excess fat.
04 -
Add minced garlic to the skillet and cook until fragrant, approximately 1 minute.
05 -
Incorporate Worcestershire sauce, tomato sauce, and diced tomatoes into the skillet. Stir until evenly mixed.
06 -
Add Italian seasoning, salt, and black pepper. Stir well, then taste and adjust seasoning if necessary.
07 -
Fold cooked macaroni and shredded cheddar cheese into the sauce mixture until uniformly combined.
08 -
If the skillet is oven-safe, place it in the preheated oven. Otherwise, transfer the mixture to a casserole dish. Bake 20 to 25 minutes until the cheese is melted and the mixture is bubbling. Serve hot.