Get ground meat (beef, turkey what ever you like)
Macaroni pasta
Bell peppers (can get chopped frozen if you'd like)
Onions (optional - can get frozen)
And creamy tomato soup (and any cheese you'd like. Shredded parmesan, mozzarella are my go to)
Brown the meat and season it with whatever you like. I use a ton of garlic, then parsley, oregano, salt and pepper. I don't like onion so I season with onion salt instead of using onions.
Cook the macaroni. Chop the peppers and onions and saute. Mix everything together in a large deep pan/tray. Sprinkle cheese in if you want. Pour the tomato soup over and keep mixing. I usually use 2-3 cans depending on size of can. Throw it in the oven at 350 for like 20 minutes (til the soup warms up) . Mix every once and a while so nothing gets too hard on top and it's all even. It's called Italian Hamburger in my family.