01 -
Brown the ground beef in a skillet over medium heat. Drain excess fat.
02 -
Sprinkle flour into the skillet with the browned beef. Stir well, and gradually whisk in the milk to form a creamy sauce.
03 -
Stir in ketchup, Worcestershire sauce, and season with salt and pepper. Simmer for 2 to 3 minutes.
04 -
Add the cooked pasta, crumbled bacon, and shredded cheddar cheese. Stir thoroughly until the cheese is melted and the sauce evenly coats the pasta and ingredients.
05 -
Serve immediately. Optionally, top with more cheese or crumbled bacon.