Cook and stir beef, onion and garlic until beef is brown. Drain.

Stir in 1 1/2 cups of water, the ketchup. Worcestershire sauce, brown sugar, paprika, and mustard. Heat to boiling; reduce heat.

Cover and simmer until beef is tender, 2 to 2 1/2 hours.

Cook noodles, drain and place in serving dish. Top with beef mixture.