Make this recipe a recipe that people in that category can eat. categories: ['low_carb'], recipe: brown meat in skillet; drain. add 1 1/4 cups water, milk and ketchup. bring to boil. stir in shell macaroni; return to boil. reduce heat to medium-low;cover. simmer 10 minutes or until macaroni is tender. add cheese sauce, tomato and onions; stir until well blended.

Target recipe: mix the meat, bread crumbs, onion, egg and seasonings together. shape the mixture into 12 thin patties, each about 4-inches in diameter. top each of 6 patties with 1 tablespoon of the cottage cheese, spreading to within 1/2-inch of the edge, sprinkle on 2 teaspoons of the parmesan cheese, and top each patty with one of the remaining patties sealing the edges firmly. brown the patties in a large skillet over medium-high heat, turning once. drain off the fat and pour the tomato sauce over the patties. cover and simmer for about 15 minutes. place a cheese slice on each patty, cover, and heat until the cheese is melted, about 2 minutes. serve with the remaining sauce in the skillet poured over them.