Beef Italian Casserole

Beef Italian Casserole was pinched from <a href="http://grandmotherskitchen.org/recipes/lean-beef-italiano-casserole.html" target="_blank">grandmotherskitchen.org.</a>
INGREDIENTS
1 tablespoon butter
1/2 cup chopped onion
1 1/2 pounds lean ground sirloin
1 1/2 teaspoons salt
1/4 teaspoon pepper
1/2 teaspoon oregano
2 tablespoons Worcestershire sauce
1 (8 ounce) package elbow macaroni, cooked
according to package directions
1 (8.75 ounce) can tomato soup, undiluted
*Optional: 1 cup sliced mushrooms
*Optiona: 1/2 cup grated Parmesan cheese to sprinke on when eating
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