In a large skillet pan, brown ground beef and diced onions until beef is fully cooked. Drain grease and return to skillet.
Add in beans, tomato sauce, diced tomatoes with green chilis, uncooked macaroni, water, garlic salt, ketchup, and Worcestershire sauce.
Bring contents of pan to boiling, then reduce heat to medium-low. Cover with lid and simmer for about 20 minutes or until macaroni starts to get tender, stirring often.
Sprinkle with cheese, then cover with lid and let cheese melt. Serve warm.
Notes
You can substitute ground turkey for ground beef in this recipe!