American chop suey is a savory combination of baked pasta, ground beef, and tomato sauce. It's believed that this comfort food dish originates from New England, although many other states had similar recipes before the 1950s. It can be prepared stovetop in a pot or baked as a casserole.
Most people like to add grated cheese to the combination, making the dish perfect for cold winter days. Variations abound throughout the country, but elbow macaroni or other tubular pasta shapes are the most common, while ingredients such as Worcestershire sauce, onions, and garlic are included in most recipes.