and cook the beef and tomato mixture on LOW for 4 hours, or on HIGH for about 2 hours, until the ground beef is fully cooked and can be easily broken apart with a spoon.
Once the beef is cooked, use a spoon or spatula to break up any remaining chunks of meat and stir everything together into a uniform, saucy mixture. Taste and adjust the seasoning with a little extra salt if needed.
Stir in the uncooked elbow macaroni, making sure
