Cook macaroni twists and shells according to package directions; drain. Brown hamburger, sausage, onion, and pepper. Drain off excess fat and add to cooked macaroni. Add mushrooms, spaghetti sauce and 1/2 cup mozzarella cheese.
Put into 9x13 inch pan. Sprinkle with Parmesan cheese. Top with pepperoni slices and then cover with 1 cup mozzarella cheese. Bake for 15 minutes at 350 degrees F then at 250 for another 15 minutes.
By Robin from Washington, IA
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Cook noodles as package directs. Mix all other ingredients with noodles, using only 1/2 package of cheese. Sprinkle the other 1/2 for topping.
Great Italian dish similar to the Cavatini at Pizza Hut.
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Brown sausage, beef, onion and bell pepper. Drain well. Add to spaghetti sauce, mushrooms and pepperoni. Simmer sauce for 1 hr. Meanwhile cook pasta until half done. Drain water.
Cook rotini; drain. Set aside. Brown hamburger and sausage and drain. Add rest of ingredients. Cook until cheese melts. Add noodles.