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Ingredients
  • 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 ½ cups uncooked elbow macaroni
  • 2 cups shredded mozzarella cheese
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