Instructions

  1. Heat butter in a large skillet over medium-high heat.
  2. Cook beef in butter, stirring occasionally, until lightly browned.
  3. Do not drain.
  4. Place beef and sliced onion in a slow cooker.
  5. Mix partially cooked elbo macarroni, beef broth, tomato paste, crushed tomatoes, garlic, Worcestershire sauce, paprika, season salt, liquid smoke, salt, and pepper; stir into beef mixture.
  6. Cover and cook on low heat 4-5 hours (I always use the longer cook time).
  7. Mix water and flour; gradually stir into beef mixture.
  8. Stir in green pepper.
  9. Cover and cook on high heat 30 minutes. Serve with a dolop of sourcream atop.