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In a large skillet, brown the ground beef with onions over medium heat. Once completely cooked, drain the excess grease away and return the skillet with the meat to the heat.
Add the garlic and sauté 1 to 2 minutes, or until the garlic is fragrant.
Add the brown gravy mix, cheddar cheese soup, and water. Mix thoroughly to combine. (If using onion and garlic powder instead of fresh, add those now.)
Add the uncooked pasta to the pan and stir well. Bring to a boil, reduce to a simmer and cover. Cook for 10 to 12 minutes, stirring occasionally, or until the pasta is al dente or cooked to your liking.
Stir in the shredded cheddar cheese until melted. Serve immediately.