Macaroni-Sausage Casserole

Prep: 10 min Cook: 20 min Serves: 6 Cuisine: American

Creamy macaroni and sausage casserole features tender pasta, savory pork sausage, and melted Cheddar cheese, making it a hearty, comforting dish perfect for family dinners.

Be the first to rate this recipe

Ingredients

  • 8 oz. elbow macaroni
  • 1 lb. bulk pork sausage
  • 1/2 cup chopped onion
  • 1/2 cup green pepper strips
  • 2 Tbsp. fat
  • 3 Tbsp. flour
  • 1/2 tsp. salt
  • 2 cups milk
  • 2 cups shredded Cheddar cheese

Instructions

  1. Cook the elbow macaroni in 3-quart boiling salted water for 7 to 8 minutes. Drain well.
  2. Brown the pork sausage; remove and reserve half of the sausage.
  3. Sauté chopped onion and green pepper in fat until tender.
  4. Stir in flour and salt, cook for 1 minute.
  5. Slowly add milk, stirring constantly.
  6. Cook over medium heat, stirring until thickened.
  7. Stir in 1 1/2 cups of shredded Cheddar cheese until melted.
  8. Combine cooked macaroni, sausage, and sauce in a casserole dish.
  9. Top with remaining cheese and bake at 350°F (175°C) for 15 minutes or until bubbly.

Tips & Substitutions

For a creamier texture, consider adding a splash of cream or using half-and-half instead of milk. You can substitute the pork sausage with turkey sausage or a meat alternative for a lighter version. To enhance flavor, add garlic powder or Italian seasoning. If you want more veggies, incorporate spinach or mushrooms into the casserole.

Serving Suggestions

Serve this casserole alongside a fresh green salad, such as Mountain Spring Salad, for a balanced meal. It also pairs well with crusty bread or garlic bread. For a comforting twist, consider serving it with a bowl of Cheddared Baked Potato Soup to complete the experience.

Storage & Reheating

Store leftovers in an airtight container in the refrigerator for up to 3 days. To reheat, microwave individual portions until hot, or cover the casserole with foil and bake at 350°F until warmed through. You can also freeze the casserole before baking; just thaw in the fridge overnight before cooking.

Nutrition & Diet Analysis (per serving)

Each serving of Macaroni-Sausage Casserole contains roughly 677 calories, with 16g protein, 51g carbohydrates, and 46g fat. It is an excellent source of vitamin C (74% of the Daily Value), protein (32% of the Daily Value), and calcium (26% of the Daily Value), and a good source of vitamin A and iron. Note that it is relatively high in sodium, at 1757mg per serving (76% of the Daily Value).

677 kcal 34% DV
Protein Fat Carbs

Macronutrients

Protein 15.9g 32% DV
Total Fat 45.9g 59% DV
Carbs 51.3g 19% DV
Fiber 3.6g 13% DV
Sugar 9.5g 19% DV

Electrolytes

Sodium 1756.7mg 76% DV
Potassium 319.5mg 7% DV
Cholesterol 64mg 21% DV

Vitamins & Minerals

Vitamin A 157.3mcg 17% DV
Vitamin C 66.7mg 74% DV
Vitamin D 0.6mcg 3% DV
Calcium 334.7mg 26% DV
Iron 2.7mg 15% DV
Contains Milk Wheat/Gluten

Estimated from ingredients & per-serving nutrition — verify against package labels for allergies or strict diets.

* % Daily Values based on a 2,000 calorie diet (FDA 2020).

Frequently Asked Questions

Can I prepare this casserole ahead of time?

Yes, you can assemble the casserole a day in advance and store it in the refrigerator. Just add a few extra minutes to the baking time if baking cold from the fridge. This allows the flavors to meld beautifully.

What can I substitute for Cheddar cheese?

You can use Monterey Jack, Colby, or a blend of cheeses for a different flavor profile. Mixing cheeses can add depth and richness to the dish, making it even more delicious.

Is there a way to make this dish vegetarian?

Absolutely! Replace the pork sausage with a plant-based sausage or mushrooms for a hearty texture. Use vegetable broth instead of meat stock and ensure the cheese is vegetarian-friendly for a complete vegetarian meal.

Nutrition is estimated from USDA FoodData Central ingredient data and may vary with brand, portion and preparation — see our methodology. This information is for general educational purposes only and is not medical or dietary advice (disclaimer).

American recipes → Pork recipes → Dairy recipes → All recipes →