1 1/2 lb. ground round
3/4 c. cracker crumbs
1 medium onion, chopped
1/2 c. small curd cottage cheese
1/2 c. shredded American cheese
1 egg, beaten
1/4 c. ketchup
1 tbsp. Worcestershire sauce
salt and pepper to taste
1/4 c. grated Romano cheese

Combine all ingredients except Romano cheese and form into a loaf. Sprinkle grated Romano cheese on top.

Bake in 300°F oven for 1 1/2 hours.