1 lb. hamburger
2 c. macaroni
1 c. onions
1 green pepper
1 can chicken with mushroom soup
1/2 c. ketchup
1 c. grated cheese

Brown hamburger in skillet and cook macaroni. Set aside. Cook pepper and onion together; drain. Add macaroni and ground beef. Mix in soup and ketchup; mix together and pour into a greased baking dish. Sprinkle cheese on top and bake in 350 degree oven for 20 to 30 minutes or until casserole bubbles.