Brown the Beef
In a large pot over medium-high heat, cook the ground beef until browned, breaking it up as it cooks. Drain excess grease if needed.
Add Aromatics & Spices
Stir in diced onion and garlic; cook for 3–4 minutes. Add tomato paste, paprika, salt, and pepper. Cook for another minute.
Build the Base
Add diced tomatoes and Worcestershire sauce. Stir to combine, then pour in beef broth. Bring to a gentle boil.
Cook the Pasta
Stir in uncooked macaroni. Reduce heat and simmer uncovered for 10–12 minutes, until pasta is tender.
Add Dairy & Cheese
Lower heat to low and stir in milk and shredded cheese. Mix until melted and creamy.
Adjust & Serve
Taste and adjust seasonings. Let rest for 5 minutes before serving. Garnish with green onions or diced pickles if desired.