01 -
Cook ground beef in a large skillet over medium heat until well browned, breaking it up with a spatula. Drain off excess fat.
02 -
Sprinkle flour over the browned beef. Stir to coat evenly, then gradually add milk while whisking constantly to create a smooth sauce.
03 -
Incorporate ketchup, Worcestershire sauce, salt, and black pepper. Stir until combined. Simmer for 2 to 3 minutes to thicken.
04 -
Add cooked pasta, crumbled beef bacon, and shredded cheddar cheese to the skillet. Stir thoroughly until cheese is melted and pasta is well coated in sauce.
05 -
Serve immediately while hot. For added flavor, top with extra cheddar or more crumbled beef bacon if desired.