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Directions
Brown meat, drain.
Add 1 1/4 cup water, milk and ketchup.
Bring to boil. Stir in shell macaroni, return to boil.
Reduce heat to medium, cover. Simmer 10 minutes or until macaroni is tender.
Add cheese sauce and enjoy. You can also add a little chopped tomato and green onion to this if you like.
By imaqt1962