Baked Macaroni and Cheese With Sausage

Macaroni and cheese with sausage and peppers
Diana Rattray
Prep: 15 mins
Cook: 45 mins
Total: 60 mins
Servings: 4 to 6 servings
Nutrition Facts (per serving)
749 Calories
52g Fat
31g Carbs
38g Protein
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Nutrition Facts
Servings: 4 to 6
Amount per serving
Calories 749
% Daily Value*
Total Fat 52g 67%
Saturated Fat 25g 124%
Cholesterol 130mg 43%
Sodium 1357mg 59%
Total Carbohydrate 31g 11%
Dietary Fiber 3g 12%
Protein 38g
Calcium 702mg 54%
*The % Daily Value (DV) tells you how much a nutrient in a food serving contributes to a daily diet. 2,000 calories a day is used for general nutrition advice.
(Nutrition information is calculated using an ingredient database and should be considered an estimate.)

Sausage makes this a hearty macaroni and cheese, perfect for an everyday family meal. Use your favorite bulk sausage to make this easy one-pot meal. Use Italian sausage or mild, country-style bulk sausage.


  • 8 ounces macaroni (uncooked)
  • 1 pound Italian sausage
  • 1/2 cup onion (chopped)
  • 1/4 cup bell pepper (green or red, chopped)
  • 2 tablespoons all-purpose flour
  • 1/2 teaspoon salt
  • 1 1/2 cups milk
  • 2 cups Cheddar cheese (shredded and divided)

Steps to Make It

  1. Gather the ingredients.

  2. Preheat the oven to 400 F.

  3. Lightly grease a 1 1/2-quart casserole dish.

  4. Cook the macaroni in boiling salted water following package directions; drain and set aside.

  5. In a skillet, saute the sausage, onion, and green bell pepper, stirring, until the sausage is no longer pink. Pour off excess fat.

  6. Add the flour and salt to the sausage mixture, blending well. Gradually add milk. Continue to cook over low heat, stirring constantly, until the sauce has thickened. Stir in the cooked and drained macaroni and 1 cup of the shredded Cheddar cheese.

  7. Transfer macaroni and sausage casserole mixture to the prepared casserole.

  8. Sprinkle remaining cheese over sausage casserole and bake in the preheated oven for 25 to 30 minutes.

  9. Serve and enjoy!


  • For extra color and flavor, add some cooked mixed vegetables or peas and carrots to the casserole mixture before baking.

Recipe Variations

  • Instead of Italian sausage, use mild breakfast sausage or a turkey sausage blend. Ham would be good in this macaroni and cheese as well.
  • Add some lightly sautéed sliced mushrooms to the macaroni and cheese along with the bell pepper.