Southern Old Fashioned Goulash

1 pound ground beef
1 large onion, chopped
2 cloves garlic, minced
1 can (15 ounces) tomato sauce
1 can (14.5 ounces) diced tomatoes, undrained
1 tablespoon Worcestershire sauce
1 teaspoon Italian seasoning
Salt and pepper to taste
2 cups elbow macaroni, uncooked
2 cups water
1 cup shredded cheddar cheese (optional)

Directions