Macaroni and Cheese With Sausage

Macaroni and Cheese With Sausage
Diana Rattray
Prep: 20 mins
Cook: 45 mins
Total: 65 mins
Servings: 6 servings
Nutrition Facts (per serving)
672 Calories
46g Fat
32g Carbs
33g Protein
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Nutrition Facts
Servings: 6
Amount per serving
Calories 672
% Daily Value*
Total Fat 46g 58%
Saturated Fat 20g 99%
Cholesterol 130mg 43%
Sodium 1503mg 65%
Total Carbohydrate 32g 12%
Dietary Fiber 2g 8%
Total Sugars 9g
Protein 33g
Vitamin C 33mg 167%
Calcium 657mg 51%
Iron 3mg 14%
Potassium 647mg 14%
*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.)

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 breadcrumb topping and baked to perfection.

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


  • 8 ounces macaroni, or ditalini

  • 1 tablespoon olive oil

  • 1 pound bulk pork sausage, spicy or Italian style

  • 1 sweet bell pepper, green or a combination of colors, chopped

  • 1 medium onion, chopped

  • 1 teaspoon Cajun or Creole seasoning blend

  • 1 dash red pepper flakes, optional

  • 1/4 teaspoon freshly ground black pepper

  • 1 clove garlic, minced

  • 2 tablespoons all-purpose 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 breadcrumbs

  • 1 tablespoon unsalted butter, melted

Steps to Make It

  1. Gather the ingredients.

  2. Cook the macaroni in boiling salted water following package directions. Drain and then set aside.

  3. Heat the oven to 350 F.

  4. Grease a 2 1/2- to 3-quart casserole.

  5. Heat the olive oil in a large saucepan or sauté 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.

  6. 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.

  7. Fold the macaroni and tomatoes into the sausage and sauce mixture. Spoon into the prepared casserole.

  8. Combine the breadcrumbs with melted butter and sprinkle over the casserole.

  9. Bake the for 25 minutes.

  10. Increase heat to 400 F and bake for 5 to 10 minutes longer, until crumb topping is lightly browned.