Macaroni And Beef Casserole2025-09-27 23:00:49.741969 +0000 UTC Ingredients12 lb each ground beef and bulk pork sausage1 medium onion chopped1 6 oz can Hunts tomato paste1 c water12 tsp oregano12 tsp salt4 c cooked elbow macaroni1 c shredded sharp Cheddar cheeseDirectionsIn skillet brown beef sausage and onionDrain fatAdd tomato paste water oregano and salt and simmer for 5 minutes In a 2 12-quart casserole dish layer half of the macaroni half of the meat sauce and half of the cheeseRepeatBake at 375 for 20 to 25 minutes