01 -
Heat a large skillet over medium heat. Add ground beef and cook for 6-8 minutes, breaking up with a spoon until well browned and no longer pink. Drain excess fat.
02 -
Sprinkle flour evenly over the cooked beef. Stir continuously until no dry flour spots remain and mixture is well combined.
03 -
Slowly pour in milk while stirring constantly to prevent lumps. Continue stirring for 4-5 minutes until mixture thickens into a smooth sauce.
04 -
Add ketchup, Worcestershire sauce, salt, and pepper to the skillet. Stir to combine and simmer for 2-3 minutes to develop flavors.
05 -
Stir in cooked pasta, crumbled bacon, and shredded cheddar cheese. Continue stirring until cheese is fully melted and everything is well coated in the creamy sauce.
06 -
Spoon into serving bowls while hot. Garnish with extra shredded cheese or bacon bits if desired and serve immediately.