01 -
Heat a large skillet over medium heat. Add ground beef and cook until browned and fully cooked through. Drain excess fat.
02 -
Sprinkle flour over the cooked beef. Stir to coat, then gradually pour in milk while stirring constantly until the mixture thickens.
03 -
Stir in ketchup, Worcestershire sauce, salt, and pepper. Let the mixture simmer for 2 to 3 minutes to enhance the flavor.
04 -
Add cooked pasta, crumbled bacon, and shredded cheddar cheese to the skillet. Stir until cheese is melted and fully combined.
05 -
Serve hot, garnished with extra bacon or cheese if desired.