Put tomato mixture in a heavy pan. Add sugar, salt and pepper. Bring to a boil and simmer. Cook macaroni separately. When done, drain and rinse with hot water. Add to tomato mix and stir. Let stand. Makes a great meal for 4 people. When you re-heat, add a little water.
This recipe is from the kitchen of Bertha E. Potenza of Providence, who says, "This is a favorite from my childhood. During World War II, meat was hard to get, so my aunt filled us up with her easy casserole. I still make it!"
Nutritional analysis provided by Theresa Jerominek, MS, RD, The Miriam Hospital.