In a Dutch oven, cook the beef, onions & pepper over medium heat until meat is no longer pink; drain. Add the garlic; cook 1 minute longer.
Stir in water, tomato paste, pepperoni, sauce and Italian seasoning. Bring to a boil. Reduce heat; simmer, uncovered, for 1 hour.
Meanwhile, for pasta, bring water to a boil in a large saucepan. Add macaroni & pastas. Return to a boil; stirring occasionally. Cook, uncovered, for 10-12 minutes or until tender, drain. Stir into tomato sauce. Transfer to greased 13x9 baking dish.
Bake at 350 F for 30 minutes. Sprinkle with cheese. Bake 5-10 minutes longer until cheese is melted.
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