In a large pot over medium heat, brown the ground beef. Break it up into small pieces as it cooks, about 5-7 minutes. Drain excess fat if necessary.
Add the diced onion, minced garlic, and bell pepper to the pot. Sauté for 3-4 minutes until the vegetables start to soften.
Stir in the Worcestershire sauce, beef broth, tomato paste, paprika, salt, and pepper.
Bring the mixture to a boil, then add the elbow macaroni. Reduce the heat to a simmer, cover, and cook for about 10-12 minutes, stirring occasionally, until the pasta is tender and has absorbed most of the liquid.
Once cooked, remove the pot from heat and stir in the milk and shredded cheddar cheese until melted and creamy.
Taste and adjust seasoning if needed. Let it sit for a couple of minutes to thicken slightly.
Serve hot, garnished with fresh parsley for a pop of color.
Notes
Feel free to customize with your favorite veggies or cheese.