Ingredients
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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
Preparation
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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.
During the final 15 minutes of cooking, stir in the elbow macaroni.
Top with mozzarella and serve.
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