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Grease the skillet with olive oil and sauté chopped onions on medium high heat till they get soft, about 2-3 minutes.
Stir in chopped bell peppers, mushrooms and garlic and combine well. Cook till the veggies get a little soft, about 3-4 minutes.
Add in beef and sausage. Crumble with a spatula and add a little salt as it cooks. Cook till the meat is brown in color with no more pink, about 5 minutes.
Add in diced tomatoes along with tomato sauce and Italian herbs and combine well. Simmer on medium heat for 20 minutes, stirring occasionally.
Cook macaroni according to the package instructions. You want it cooked al dente, as it continues cooking in the oven.
Preheat oven to 350°F.
Mix half of mixed grated cheese into the meat sauce. Stir in cooked macaroni and mix well.
Sprinkle remaining grated cheese on top of the assembled casserole. Loosely cover with aluminum foil. Bake for 40-45 minutes in preheated oven.
Remove from oven and rest for 5-8 minutes before serving it up.