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You can use a crockpot or dutch oven for this recipe.
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If using crockpot;.
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Wash and prepare veggies.
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Dump them into the crockpot.
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Add the cooked browned italian sausage.
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Cut up the pepperoni and place on a paper plate in a single layer in microwave for about 1-2 minutes or a plate covered with a paper towel to catch the grease, then add just the meat to crockpot, not the grease.
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(You arent trying to make the pepperoni get crisp, just release most of its grease so its not on the top of the soup in a nasty layer.
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).
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Add spices and stir.
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Pour in the pizza sauce and tomatoes, and follow with three empty jars of water or 5 cups of water.
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Cover and cook on low for 7-9 hours.
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Everything in this is already cooked, except for the veggies, so you are really only heating through and allowing the flavors to meld.
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Or on high for 4 hours.
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Thirty minutes before serving, add the dry pasta, and turn to high.
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My pasta only takes 20 minutes to soften quite nicely.
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When pasta is done, stir in 1 cup mozzarella cheese.
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Garnish/top with shredded mozzarella cheese.
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IF you are doing on the stovetop, Do it pretty much the same except saute the veggies with the itialian sausage while you are browning it.
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Dump it all in the pot and heat and simmer for 15 minutes, then add the pasta and cook pasta until its tender.
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Stir in 1 cup cheese and garnish with remaining cheese!