Grandma's Down-Home Southern Goulash Recipe - Soul-Warming Comfort

Ingredients

• 1 lb (454 g) ground beef
• 1 lb (454 g) ground turkey
• 2 cups elbow macaroni (uncooked)
• 1 15 oz (425 g) can diced tomatoes, undrained
• 1 15 oz (425 g) can tomato sauce
• 1 cup beef broth
• 1 cup water
• 1 medium onion, diced
• 1 medium green bell pepper, diced
• 3 cloves garlic, minced
• 1 tbsp Worcestershire sauce
• 2 tsp paprika
• 1 tsp Italian seasoning
• ½ tsp salt
• ½ tsp black pepper
• ¼ tsp red pepper flakes (optional)
• 1 cup shredded cheddar cheese (optional)