Cook elbow macaroni to al dente according to the package directions, drain and set it aside.
Dice the onion and green bell pepper.
In a large skillet or soup pot, heat the olive oil on medium-high.
Add the diced onion and green bell pepper, reduce the heat to low, and sweat them for 5 minutes.
Turn the heat back up to medium-high and add the ground beef. Cook it until it's browned. Drain off any excess fat.
Add tomato sauce, V8 juice, paprika, Worchestershire sauce, salt, and pepper. Add cooked macaroni noodles.
Turn the heat to low and simmer for 15 minutes.