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Nina's Macaroni Beef Skillet
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1 c. elbow macaroni 1 c. onion, diced 2 tbs. oil 1/4 tsp. pepper 1 c. ketchup 2 tbs. worcestershire sauce 1 lb. ground beef 1 clove garlic, minced 1 tsp. salt 1 can tomato sauce 1 (8 oz) can mushroom stems 1/2 tsp. Italian seasonings
Cook macaroni in boiling salted water according
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