In large saucepan, brown, sausage; ... the sausage. Stir tomato sauce paste, water and sugar ... tomato mixture. Stuff pasta shells with cheese and sausage ... Can add Parmesan, too.
Cook macaroni according to package ... ground chuck, ground pork, onions, celery, and garlic ... fat. Stir in tomato sauce, Worcestershire sauce, and oregano. ... pie is heated through.