First Step: 

Bring the water to a boil, add the salt, and then add the macaroni, cooking for 4 minutes before taking from the heat, draining, and leaving this aside.

Second Step: 

Make sure to stir constantly while cooking the ground beef and onions for 5-7 minutes, or until the ground beef is cooked thoroughly.

Third Step: 

After that, put in the garlic and Worcestershire sauce and mix well to combine.

Fourth Step: 

Mix in the tomato sauce, chopped tomatoes, and other seasonings until everything is well-combined.

Fifth Step: 

Continue to cook for another 5 to 10 minutes or until the pasta is al dente and the flavors have had a chance to meld together before adding the spaghetti and stirring constantly.

Sixth Step: 

If using cheese, you need to stir it in and set it aside to melt before serving.

NOTE: 

This is a one-dish meal that many people choose to enjoy on its own. As a result, we often serve a big side salad, as well as some steamed vegetables or even simply some sautéed green beans on the side, as a complement to our main dish.