Creating American Chop Suey can be straightforward if you follow these simple steps:

1. Cook the Pasta: In a large pot, boil water and cook the elbow macaroni according to package instructions. Once cooked, drain and set aside.
2. Brown the Meat: In a large skillet, brown the ground beef or turkey over medium heat. Break it up into small pieces as it cooks until no longer pink. Drain excess fat if necessary.
3. Sauté Vegetables: Add the chopped onions and bell peppers to the skillet. Cook until the vegetables are tender, approximately 5-7 minutes. Add the minced garlic and sauté for an additional minute until fragrant.
4. Combine Ingredients: Stir in the tomato sauce, diced tomatoes (with juices), Worcestershire sauce, oregano, salt, and black pepper.
5. Add Liquids: Pour in the beef broth or water and stir well to combine.
6. Add Macaroni: Gently fold the cooked macaroni into the skillet and mix until completely coated with the sauce.
7. Simmer: Allow the mixture to simmer on low heat for about 10-15 minutes, stirring occasionally until heated through.
8. Taste and Adjust: Season with red pepper flakes, additional salt, or pepper if desired.
9. Serve: Remove from heat and let it settle for a couple of minutes before serving.

These steps will guide you in easily preparing this incredible American classic.