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Cook the Beef: In a large stockpot, cook the ground beef with minced garlic and onion powder over medium heat until the beef is browned. Drain any excess grease.
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Combine Ingredients: Add the beef broth, chopped tomatoes, ketchup, Worcestershire sauce, brown sugar (if using), and Italian seasoning to the pot. Stir well and bring the mixture to a boil. Reduce the heat and simmer for 8-10 minutes.
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Cook the Macaroni: Stir in the dry macaroni and cook for about 15 minutes, or until the pasta is tender.
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Serve: Top with shredded cheese, if desired. Serve hot and enjoy!