I almost fell in the floor laughing while watching Guy Fieri on tv one night when he was visiting some diner up in the Northeast and first encountered "American Chop Suey" - a dish totally foreign to him - not just the name, the dish!
Well, I grew up with it being called Slum Gullion, the lunch ladies at school called it Goulash .... same thing as American Chop Suey.
Hamburger, onion, green bell pepper, diced tomatoes and/or tomato sauce, ground black pepper, large or small macroni ... garlic powder optional.
"It ain't what you don't know that gets you in trouble. It's what you know for sure that just ain't so." - Mark Twain