What we call American Chop Suey in my house. Fresh chopped Peppers, Onions, Mushrooms, salt, pepper, and red pepper flakes to taste, add hamburger meat and cook through until brown but don't overcook. Add spaghetti sauce, I like garden vegetable and some chopped cherry tomatoes, and stir til hot. Throw in cooked shell or regular medium macaroni, mix together and serve with crusty bread or some toasted Texas Toast. I add Parmesan Cheese too. Tastes great as a leftover too ! Or tacos, meatloaf, meatballs, hamburger on the grill.