Fry hamburger, pepperoni, onion, green ... pepper together. Cook macaroni and drain. Mix meat mixture ... dish; top with Mozzarella cheese. Bake at 400 degrees until cheese melts.
Remove sausage meat from casings ... heat. Cook elbow macaroni according to package directions. Drain. Layer elbow macaroni and Mozzarella cheese in a 9 x ... 30 minutes. Serves 6.