Sausage Macaroni and Cheese Recipe

Enjoy Sausage Macaroni and Cheese January 20th for Cheese Lover's Day, July 14th for Mac & Cheese Day, or any day of the year!

Sausage macaroni and cheese is my number one, all-time favorite comfort food, a dish we enjoy all through the year. I originally found the recipe in a community cookbook from my hometown, which is a great place to find tried and true recipes that "real people" love.

This recipe was first published here on this blog back in February 2007. After all these years, I haven't found another macaroni & cheese recipe to top it.

Here it is, for you. Get comfortable - and enjoy!

Sausage Macaroni and Cheese

1 pound ground sausage
8 ounces elbow macaroni (or use rotini as shown in the picture above)
1 cup grated sharp cheddar cheese
1 cup grated mild cheddar cheese
1/4 cup butter or margarine
1/4 cup flour
2 cups milk
salt to taste
pepper to taste

Preheat oven to 375 degrees. Cook macaroni as directed; drain. Pan fry sausage, crumbling as you go; remove and drain. Put sausage and macaroni in a 2-quart casserole dish sprayed with cooking spray. Prepare sauce: Melt butter, blend in flour and cook for a minute or two. Stir in milk and seasonings. Bring to a boil, stirring. Boil for 1 minute; remove from heat. Add cheese and stir until blended. Pour sauce over casserole mixture and bake for 15 minutes.

Serve with peas and baby carrots.

I use J.C. Potter Country Sausage, either the lite or the regular variety. It cooks up with almost no grease, no mess, no need to drain and it's much lower in fat than regular pork sausage, plus it's absolutely delicious.

I also use the pan that I cooked the macaroni in to make the cheese sauce, adding the butter to melt while the pan is still hot from the macaroni water (no need to wash first). While the casserole is baking, I can wash up that pan and the skillet that I cooked the sausage in, so the dishes are done before we even sit down to eat. Nice!

Sausage mac & cheese, delicious comfort food no matter which macaroni you choose to use.
Sausage mac & cheese, delicious comfort food  
no matter which macaroni you choose to use.


  1. Sounds good, Susan. I love macaroni and cheese almost anyway you present it though I would have to say that I have never had "round roll sausage." Is that simply sausage? It looks like bits of ground beef in your photo.

  2. That's one "pound" of sausage, Brenda! Not sure why I used "roll" in the description, but I'm guessing that's the way the original recipe was worded. I'll change that to "1 pound ground sausage" then, in the instructions, say "cook and crumble." That does make more sense, doesn't it. Thanks for pointing that out!

  3. Not sure my comment went thru, logged in now so will try again :-) This looks yummy, I have the ingredients to make it lactose free, as I can't have lactose, including the roll of ground sausage. Maybe a good comfort food dinner this cold night.

    1. Glad you have alternatives so you can give the lactose-free version a trial, Claudia. Truly, this is one of my very favorites and perfect for a cold night! So glad you stopped by. I always appreciate your visits!


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