Add 4 quarts of water in a medium pot and bring it to boil.
Add pork, onion, carrots, potatoes, mushroom. Turn down to medium heat and continue to simmer it. Do not cover the pot with a lid.
In the meantime, cook the macaroni per bag instruction. Set aside.
Continue to add fish tofu, fish balls, shrimp, quail eggs, fish sauce, pork flavor seasoning. Cook for another 30 minutes. Taste and adjust based on your reference.
When ready to eat, add cooked macaroni in the bowl and pour some soup. Garnish with black pepper and cilantro.