This is a simple recipe that was given to me by my mother. She served it when I was a child, and my family of 6 loves it too. Serve on hamburger buns.
Heat a large skillet over medium-high heat. Cook and stir beef in the hot skillet until browned and crumbly, 5 to 7 minutes; drain and discard grease. Mix ketchup, chili sauce, brown sugar, Parmesan cheese, relish, onion, and Worcestershire sauce into ground beef; simmer until heated through and flavors blend, 20 to 25 minutes.
Per Serving: 265 calories; protein 14.8g; carbohydrates 29.4g; fat 10.2g; cholesterol 50.2mg; sodium 597.3mg.