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Export 6 ingredients for grocery delivery
Step 1
Melt the butter in a 10" skillet over medium-high heat. Add the onion and cook for about three minutes.
Step 2
Add the ground beef and cook until done. Drain off the fat.
Step 3
Add salt, pepper, sugar, Worcestershire sauce, tomatoes, water and macaroni; stir. Cover and simmer for 15 minutes, stirring occasionally.
Step 4
Remove the lid and continue cooking until mixture is thick and macaroni is tender.
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