Bring water to a boil, then salt and add your macaroni cooking for 4 minutes before removing, draining, and setting this aside.

Add your ground beef and onions to a skillet and cook stirring frequently for 5-7 minutes or until cooked through.

Next, add in the garlic and Worcestershire sauce and stir.

Pour in tomato sauce, diced tomatoes, and remaining spices and mix well.

Add in the pasta, reduce heat and stir, then let this mixture simmer for another 5-10 minutes, or until the pasta is cooked to al dente and the flavors have had a chance to combine.

Mix in cheese if desired, and allow to melt before serving.