My mom was a great cook so I was very honored when she would ask me to make this for her. You may add any LEFTOVER vegetables (peas, beans, corn, carrots.) I think the large elbow macaroni is what makes it unique. I have a friend that adds a can of tomato soup to hers. Serve with cornbread or crackers.
In large saucepan (5.5 Qt or dutch oven) heat oil. Add beef stew meat that has been sprinkled with season salt. Allow to brown on each side, stirring occasionally. Add water(4-6) cups and boil about 45 minutes -1 hour or until done. Allow to rest while cooking potatoes and carrots. NOTE: If using meatballs- form ground beef into 1-inch balls, season (salt/pepper), cook and drain. Set aside and add to soup after vegetables.
Cook in a separate saucepan from the stew meat. Wash, peel and cut POTATOES in chunks. Wash, scrape and slice CARROTS. Boil until almost done. NOTE: MAY COOK POTATOES AND CARROTS TOGETHER OR SEPARATELY.
Cook macaroni until done but still firm. Set aside.
Add diced tomatoes, tomato sauce and canned vegetables with liquid to saucepan with cooked stew meat. Bring to a boil and carefully add cooked potatoes and carrots. Add salt and pepper to taste. Add more liquid if needed-beef broth or water. Add optional ingredients, if desired. Boil for about 30 minutes. Stirring occasionally.
Stir in cooked macaroni. Boil for about 5 minutes. Allow to sit a few minutes before serving.