Brown ground beef in a skillet. Drain any grease if there is any. If you use grassfed beef there will be minimal grease.
Add onion and pepper to ground beef and saute until tender.
Add garlic and fresh tomatoes, salt and sugar.
Simmer for about 8-10 minutes until most of the tomatoes are broken down, but there are still some chunks of tomatoes that remain.
Taste for seasonings, and adjust to your liking.
Add cooked macaroni and stir to combine.
Add fresh chopped herbs and serve immediately.