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In a 12 1/2 inch cast iron skillet, brown the ground beef, onion and bell pepper, drain. Stir in the pizza sauce and soup, blend well.
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Stir in the water and pepperoni. Bring to a boil; stir in uncooked noodles.
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Cover and cook over medium heat for 10 to 15 minutes or until the pasta is tender, stirring frequently.
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Remove from the heat; sprinkle with cheese. Cover and let stand for 5 minutes.