Note: click on times in the instructions to start a kitchen timer while cooking.
Add the ground beef, onions, bell peppers and garlic to a large dutch oven on medium-high heat and cook it breaking it apart until it is no longer pink, about 5-7 minutes.
Drain most of the fat then add in the remaining ingredients except the macaroni, bring to a boil then reduce to a low heat and simmer with a cover on for 15 minutes.
Add in the macaroni, mix well then cover and simmer an additional 20 minutes, stirring occasionally before serving
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