In a Dutch oven or large pot, brown ground beef over medium heat. Drain excess grease if needed.
Stir in onion and bell pepper and cook until soft, about 5 minutes. Add garlic and cook for another minute.
Add diced tomatoes, tomato sauce, ketchup, salt, pepper, paprika, sugar, and Worcestershire. Stir well and bring to a gentle simmer.
Stir in dry elbow macaroni and broth.
Cover and simmer on low for 20 minutes, stirring occasionally, until pasta is tender.
Serve with dinner rolls and butter or Saltine crackers.
