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guyj2010
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Brown ground beef and chopped onion. Drain, then stir in Worcestershire sauce, salt, and pepper.
Cook macaroni noodles and drain.
Add meat mixture to noodles and stir well.
Add tomatoes without draining and mix.
Stir in sharp cheese until combined.
Transfer to a casserole dish (8x8", 9x9", or at least 2 quarts).
Sprinkle Parmesan on top and bake at 350°F for 50 minutes to 1 hour.