Add a big can of diced tomatoes and a small can of tomato paste. Cook for a couple minutes on medium. Then return the elbows to the macaroni pot, mix in the sauce, and reheat the whole thing for a minute or two. You might want to try ground turkey for a lower fat chop suey. We also add a little hot oil to the frying pan for a spicier sauce.
Some people also add a cup of chopped celery.
My mother used to mix the sauce and elbows and put it in a casserole dish. This is a great meal for a cold October evening. One of my favorite berry recipes is a super moist, Blueberry Sour Cream Coffeecake . Set this aside. Add a little salt, a teaspoon of vanilla and 2 eggs.