This slow cooker 5-ingredient Amish tomato beef macaroni is the kind of nostalgic, no-fuss meal my father used to make on busy weeknights in the Midwest. It’s humble, hearty, and wonderfully comforting—just elbow macaroni, ground beef, and tomatoes simmered into a thick, savory sauce that perfumes the whole house. Dishes like this have roots in simple farm cooking, where a few pantry staples had to stretch to feed a crowd. Everything comes together in one slow cooker, so it’s truly a zero-effort cozy bowl that has a way of bringing everyone to the table.
Serve this tomato beef macaroni straight from the slow cooker into warm bowls, with a sprinkle of black pepper or a little grated cheese if you like. A simple green salad with a tangy vinaigrette or some steamed green beans balances the richness nicely. Crusty bread or buttered toast soldiers are perfect for swiping through the thick tomato sauce. For a heartier spread, pair it with a platter of sliced cucumbers and onions in vinegar, or a basic coleslaw, to echo the simple farmhouse feel.
Slow Cooker Amish Tomato Beef Macaroni
Servings: 6

Ingredients
1 1/2 pounds ground beef (80–90% lean)
1 large yellow onion, finely diced
2 cans (28 ounces each) crushed tomatoes
4 cups low-sodium beef broth
3 cups dry elbow macaroni (about 12 ounces)
Kosher salt and freshly ground black pepper, to taste (optional)
Directions
Brown the beef and onion: In a large skillet over medium-high heat, add the ground beef and diced onion. Cook, breaking the meat into small crumbles, until the beef is fully browned and the onions are soft, about 7–10 minutes. If there is a lot of excess fat, spoon off most of it, leaving just a thin coating for flavor.
Season the beef (optional): Season the browned beef and onions lightly with kosher salt and black pepper if desired. This step builds flavor before everything goes into the slow cooker.
Load the slow cooker: Transfer the browned beef and onions to a 5- to 6-quart slow cooker. Pour in the crushed tomatoes and beef broth, then stir well to combine, making sure the beef is evenly distributed and no large clumps remain.
Slow cook the sauce: Cover and cook on LOW for 5–6 hours or on HIGH for 2 1/2–3 hours. The mixture should be bubbling gently around the edges and smell rich and tomatoey. This slow cooking step lets the beef soften and the tomatoes concentrate into a thick, savory sauce.
Add the macaroni: Stir the sauce, then add the dry elbow macaroni directly to the slow cooker. Push the pasta down so it is mostly submerged in the liquid. If the sauce looks extremely thick and the pasta isn’t covered, add up to 1/2 cup additional water or broth, just enough to moisten.
Finish cooking: Cover and cook on HIGH for 20–30 minutes, stirring once halfway through, until the macaroni is tender but not mushy and the sauce is thick and clings to the pasta. Slow cookers vary, so begin checking at the 15-minute mark the first time you make it.
Adjust seasoning and serve: Give everything a final stir. Taste and adjust with more salt and pepper if needed. The sauce should be thick, deep red, and glossy, with tender beef crumbles and soft diced onion pieces throughout. Ladle the steaming macaroni into bowls and serve straight from the slow cooker for that cozy, family-style feel.
Variations & Tips
To keep this true to its 5-ingredient spirit, think of add-ins as optional rather than required. For a slightly creamier version, stir in 1/2 to 1 cup of shredded cheddar or Colby cheese right at the end until melted. You can also fold in a splash (2–3 tablespoons) of heavy cream for a softer, rounder tomato flavor. If you want a bit more vegetable presence without changing the character, add 1–2 finely diced carrots or a handful of finely chopped celery when you brown the onion; they’ll melt into the sauce as it cooks. For a leaner take, substitute ground turkey or ground chicken for the beef, but be sure to brown it thoroughly and season well so it doesn’t taste flat. To add a touch of smoky depth, a small pinch of smoked paprika or a dash of Worcestershire sauce can be stirred into the slow cooker with the tomatoes. If you prefer your pasta very firm, you can parboil the macaroni separately for 4–5 minutes, drain, and then stir it into the slow cooker for just 10–15 minutes at the end so it finishes in the sauce without over-softening. Food safety tips: Always brown ground beef until no pink remains and the crumbles reach 160°F before adding to the slow cooker; raw ground meat should not go into a slow cooker with other ingredients. Avoid leaving the finished dish on the “warm” setting for more than 2 hours to minimize bacterial growth. Cool leftovers quickly, transfer to shallow containers, and refrigerate within 2 hours; they will keep safely for up to 3–4 days. Reheat leftovers until piping hot and steaming throughout before serving.