Ingredients

• 1 3/8 pounds hot Italian sausage, sliced
• 1 pound pepperoni sausage, sliced
• 3 green bell peppers, chopped
• 2 onions, chopped
• 2 cups chopped fresh mushrooms
• 3 cups crushed tomatoes with garlic
• 1 (15 ounce) can tomato sauce
• 1 (6 ounce) can tomato paste
• 4 cups water
• 1 1/2 cups uncooked elbow macaroni
• 2 cups shredded mozzarella cheese

Instructions

1. In a large saucepan, place the hot Italian sausage, pepperoni sausage, green bell peppers, onions, mushrooms, diced tomatoes, tomato sauce, tomato paste and water. Bring to a boil. Boil 30 minutes, reduce heat and simmer 90 minutes.
2. During the final 15 minutes of cooking, stir in the elbow macaroni.
3. Top with mozzarella and serve.