Cook pasta according to package directions; drain.
While pasta is cooking, in a large skillet, cook beef and onion over medium heat 6-8 minutes or until beef is no longer pink, breaking up beef into crumbles; drain.
Add pizza sauce, soup and cheese; cook and stir over low heat until cheese is melted.
Add pasta and pepperoni to beef mixture.
Heat through, stirring to combine. If desired, top with basil before serving.