01 -
In a large skillet, brown and crumble ground beef over medium heat. Add diced onion and green pepper, cooking until vegetables soften and meat is fully cooked. Drain excess grease.
02 -
Transfer the meat and vegetable mixture to a 4-6 quart slow cooker. Stir in minced garlic, pasta sauce, tomato sauce, petite diced tomatoes, water, Italian seasoning, and granulated sugar. Do not add macaroni yet.
03 -
Cover and cook on low for 8-10 hours or on high for 2-4 hours to allow flavors to meld.
04 -
During the last hour of cooking, stir in elbow macaroni. Cover and continue cooking until pasta is al dente or preferred tenderness is reached.
05 -
Serve hot accompanied by fresh garlic bread and a salad if desired.