01 -
In a large skillet, brown and crumble ground beef with diced onion and green bell pepper until meat is fully cooked and vegetables are softened. Drain excess grease.
02 -
Transfer beef mixture to a 4-6 quart slow cooker. Add minced garlic, pasta sauce, tomato sauce, diced tomatoes, water, Italian seasoning, and sugar. Stir to combine.
03 -
Cover and cook on low heat for 8 to 10 hours or on high heat for 2 to 4 hours, allowing flavors to meld.
04 -
During the final hour of cooking, stir in elbow macaroni. Cover again and continue cooking until pasta is al dente.
05 -
Serve hot, accompanied by fresh garlic bread and salad if desired.