Macaroni and Cheese With Sausage

Macaroni and Cheese With Sausage
Diana Rattray
  • 65 mins
  • Prep: 20 mins,
  • Cook: 45 mins
  • Yield: 6 servings
Ratings (10)

Browned sausage and sliced tomatoes help to make this creamy, delicious macaroni and cheese a hearty main dish. The flavorful casserole is made with pork sausage, chopped vegetables, and a homemade cheese sauce. It's topped with a buttered bread crumb topping and baked to perfection.

Serve this macaroni and cheese bake with biscuits or fresh sliced bread for a fabulous everyday meal.

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Classic Baked Macaroni and Cheese
Macaroni and Cheese With Bacon​


What You'll Need

  • 8 ounces macaroni or ditalini
  • 1 tablespoon olive oil
  • 1 pound bulk pork sausage, spicy or Italian style
  • 1 sweet bell pepper, chopped, green or combination of colors
  • 1 medium onion, chopped
  • 1 teaspoon Cajun or Creole seasoning blend
  • Dash red pepper flakes, optional
  • 1/4 teaspoon ground black pepper
  • 1 clove garlic, minced
  • 2 tablespoons flour
  • 2 cups whole milk
  • 2 cups (8 ounces) shredded sharp Cheddar cheese
  • 1 cup (4 ounces) American cheese, cut in cubes or shredded
  • Salt, to taste
  • 8 ounces grape tomatoes, halved or quartered lengthwise
  • 1/2 cup fine soft bread crumbs
  • 1 tablespoon melted butter

How to Make It

  1. Cook the  macaroni in boiling salted water following package directions. Drain and then set aside.
  2. Heat the oven to 350 F.
  3. Grease a 2 1/2- to 3-quart casserole.
  4. Heat the olive oil in a large saucepan or saute pan over medium heat. Crumble the sausage and add it to the pan along with the bell pepper and onion; cook, stirring and breaking up sausage, until sausage is no longer pink and vegetables are tender. Spoon off any excess grease and add the seasoning, pepper flakes, black pepper, and garlic.
  1. Add the flour to the sausage mixture and cook for about 2 minutes longer, stirring constantly. Gradually stir in the milk. Continue cooking until thickened, stirring constantly. Stir in the cheeses and add salt, to taste.
  2. Fold the macaroni and tomatoes into the sausage and sauce mixture. Spoon into the prepared casserole.
  3. Combine the bread crumbs with melted butter and sprinkle over the casserole.
  4. Bake the for 25 minutes.
  5. Increase heat to 400 F and bake for 5 to 10 minutes longer, until crumb topping is lightly browned.

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Nutritional Guidelines (per serving)
Calories 807
Total Fat 51 g
Saturated Fat 24 g
Unsaturated Fat 18 g
Cholesterol 134 mg
Sodium 1,530 mg
Carbohydrates 49 g
Dietary Fiber 5 g
Protein 38 g
(The nutrition information on our recipes is calculated using an ingredient database and should be considered an estimate. Individual results may vary.)