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1. Add ground beef and Italian sausage to large skillet. Crumble with wooden spoon.
2. Sauté over medium heat 5 minutes.
3. Stir in chopped onion and minced garlic. Sauté until meat is browned.
4. Drain off excess fat. Spoon meat mixture into slow cooker.
5. Stir in diced tomatoes, chopped cabbage, tomato puree, water, Worcestershire sauce, sugar, smoked sausage and hot pepper sauce.
6. Cover and cook on LOW 12 hours.
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