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Often mistaken for its Asian cousin, it is a warm comfort food prepared with pasta, ground beef, and a savoury-rich tomato sauce. Originally an adaptation by the New England region, it is popular throughout much of America. This American chop suey recipe is the perfect weeknight dinner, if you want an easy and tasty meal. To make this yummy recipe, start with 1 pound of elbow macaroni. Cook according to package instructions. Then, in a large skillet, brown ground beef over medium heat, breaking up as you cook until the meat is very well done. Then drain excess fats from the skillet. Add chopped onions and bell peppers to the skillet. As the vegetables cook, they should soften them. Add a can of diced tomatoes with its tomato sauce, plus some sprinkled Italian seasoning. Add the cooked macaroni and let the mixture simmer as the flavours meld together. Season with salt and pepper. Add in your favourite choice of other vegetables. You could add mushrooms or zucchini, or spice it up with red pepper flakes. Serve hot with grated cheese, as that will add flavour to this dish. Fill that stomach and warmness with this dish and send many nostalgic memories to your heart. Enjoy that cool evening or serve your American chop suey recipe, which will surely please everyone!