It turned out really great with several modifications. You certainly don't have to make it this way; I just really preferred it. I used 8 carrots, a total of 9 oz of tomato paste, 1 medium to large sized white onion, 0.8 lbs of ham, and 2 lbs of ground buffalo. Also as recommended in other reviews I used 1-1/2 tbs of dried basil and a dash or two of nutmeg. I sliced the onions, carrots and ham and sauteed them in the butter until the carrots were soft. I then added the broth, tomato paste, lemon, spices. I browned the ground buffalo in a separate pan. I then took all the contents in the carrot/onion/ham pan and blended them in the blender. I put the blended contents back into the pan and added the ground meat with its juices. I prefer the only texture to be the ground meat and everything else to be a puree. At the very end I added about 2 tbs of cream. I'm not a big fan of heavy tomato based sauces as the tomatoes are too acidic for me and give me reflux. So this was an excellent alternative. If you do like more tomato flavor, you can always increase the tomato paste even more!
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It turned out really great with several modifications. You certainly don't have to make it...