Start by browning ground beef and sausage together in a large cast iron skillet over medium high heat, or in the Instant Pot set to saute.
When meat is beginning to brown, add minced garlic, onions and peppers.
Season meat mixture with oregano, garlic pepper, salt and red pepper flakes.
When meat is no longer pink, add mixture to your Instant Pot. If you browned it in the Instant Pot, turn off.
Add beef broth and Worcestershire sauce.
Place uncooked pasta on top of meat mixture.
Place cubes of cream cheese on top of pasta.
Pour spaghetti sauce over pasta and cream cheese. Add garlic powder and Italian seasoning.
Do not stir to combine anything! You should have layers. Meat mixture, pasta, cream cheese and sauce.
Close the Instant Pot lid and set valve to sealing.
Cook on manual or high pressure for 5 minutes.
Allow a natural release for 1 minute, then do a quick release in short bursts.
Open the lid and add the cheeses. Stir to combine until cheese melts.