Italian Mac and Cheese

Written by Imad
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If you’re a fan of macaroni and cheese, you’ll love this Italian twist on the classic comfort food. This recipe combines pasta, Italian sausage, tomatoes, and cheese for a creamy and flavorful dish that’s sure to satisfy. Let’s dive into how you can make this delicious Italian Mac and Cheese at home.

Why You’ll Love This Recipe

This Italian Mac and Cheese is perfect for:

  • Those who enjoy the flavors of Italian cuisine.
  • Fans of creamy and cheesy pasta dishes.
  • Anyone looking to add a twist to their macaroni and cheese recipe.

With its simple ingredients and easy preparation, this dish is a great option for a weeknight dinner or a weekend indulgence.


  • 8 oz elbow macaroni
  • 1 lb Italian sausage
  • 1 can diced tomatoes, drained
  • 1/2 cup chopped onion
  • 2 cloves garlic, minced
  • 2 tablespoons butter
  • 2 tablespoons all-purpose flour
  • 1 cup milk
  • 1 cup chicken broth
  • 2 cups shredded mozzarella cheese
  • 1/2 cup grated Parmesan cheese
  • 1/2 teaspoon salt
  • 1/4 teaspoon black pepper
  • 1/4 teaspoon red pepper flakes (optional)
  • 1/4 cup chopped fresh parsley, for garnish


  1. Cook the elbow macaroni according to package instructions. Drain and set aside.
  2. In a large skillet, cook the Italian sausage over medium heat until browned and cooked through. Remove from the skillet and set aside.
  3. In the same skillet, add the chopped onion and garlic. Cook until softened, about 5 minutes.
  4. Add the butter to the skillet and melt. Stir in the flour and cook for 1-2 minutes, stirring constantly.
  5. Gradually whisk in the milk and chicken broth. Cook until the sauce thickens, about 5 minutes.
  6. Stir in the mozzarella cheese and Parmesan cheese until melted and smooth.
  7. Season the sauce with salt, black pepper, and red pepper flakes, if using.
  8. Add the cooked macaroni, Italian sausage, and diced tomatoes to the skillet. Stir until everything is well combined and heated through.
  9. Serve the Italian Mac and Cheese hot, garnished with chopped fresh parsley.

Kitchen Equipment Needed

  • Large skillet
  • Large pot for boiling pasta
  • Whisk
  • Colander

Tips and Variations

  • Vegetarian Option: Omit the Italian sausage or replace it with a meatless alternative for a vegetarian version.
  • Extra Flavor: Add a teaspoon of Italian seasoning or dried basil and oregano to the sauce for an extra burst of flavor.
  • Extra Cheesy: Mix in some extra shredded cheese or top the casserole with additional cheese before baking for a cheesier dish.
  • Make Ahead: Prepare the casserole up to a day in advance, cover, and refrigerate. Bake when ready to serve.

Storing Leftovers

If you have any leftovers, store them in an airtight container in the refrigerator for up to 3 days. Reheat in the microwave or oven until heated through.

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