Creamy Macaroni and Cheese with Sausage

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My kids literally cheer out loud when they hear we are having homemade Macaroni and Cheese with Sausage for dinner. It’s one of their favorite meals. It is often requested for birthday dinners, or I’ll make it for back to school meals that I know they will love.

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homemade mac and cheese with sausage

Sausage Mac and Cheese is simple to make. The creamy cheese sauce and flavorful sausage are a great combination.  And don’t skimp on the cheese on top. 

Simple ingredients you likely already have:

  • Pasta
  • Cheese
  • Flour
  • Butter
  • Milk

I was introduced to macaroni and cheese with sausage after my oldest daughter was born.  My friend Heidi brought our family dinner.  It has since become one of our families favorite meals.

hillshire farm link sausage for sausage mac and cheese

You start with the smoked beef sausage.  I typically use two packages. It is already fully cooked, so you just have to cut it into bite size pieces and warm it in the skillet.

cooked sausage in a skillet

I also like to make sure it gets browned on the outside.  I love the extra flavor.  Once heated, place the sausage on a paper towel to eliminate some of the grease. We all have a hard time not snitching these little pieces.

sausage draining on paper towel for sausage mac and cheese recipe

Then comes the creamy sauce.  You can cook it on the stove top, but I love to make it in the microwave!  So easy.

microwave cheese sauce for macaroni and cheese with sausage

Once the sauce is ready, add the sausage to the macaroni noodles and pour the cheese sauce over the top.

cheese sauce being poured over sausage mac and cheese

Top it with more delicious cheese and put it in the oven for 15 minutes to melt the cheese.  The result is creamy and delicious sausage mac and cheese that your whole family will love.

sausage mac and cheese topped with shredded cheese

Cooking alternatives:

  • Substitute link sausage with another sausage, chicken, or steak
  • Go meatless
  • Some of my kids like less cheese so I only put it on top on half
  • We cut the links into circles, then quartered, but you can leave as circles


Sausage Mac and Cheese

Macaroni and Cheese with Sausage
Prep Time
10 mins
Cook Time
25 mins
Total Time
35 mins

Creamy and delicious sausage mac and cheese is the ultimate comfort food.

Course: Main Course
Cuisine: American
Keyword: macaroni and cheese with sausage, sausage mac and cheese
Servings: 6 servings
Calories: 499 kcal
Author: Kristen Duke
  • 16  ounces medium cheddar cheese shredded
  • 24 ounces macaroni pasta cooked
  • 2 packages link sausage (130z) cut into bite sized pieces
  • 1/4 cup butter
  • 1/4 cup flour
  • 1 tsp salt
  • 1 pinch pepper
  • 2 cups milk
  1. Grate all the cheese, divide into 2 equal parts. Cook the macaroni according to the directions on the package.
  2. Melt the butter in a glass dish in the microwave.

  3. Add 1/4 cup flour, salt, and peper and mix to make a roux. 

  4. Add 2 cups of milk to the roux and return to the microwave.  Microwave in one minute increments, stirring in between, until it starts to bubble and thicken. 

  5. Once your sauce is thick, stir in 1/2 of the grated cheese.
  6. Drain the cooked pasta, add it to a 9x13 casserole dish. Add the sausage, stir in the sauce.
  7. Sprinkle the rest of the grated cheese on top. Bake at 375 for 15 minutes. Everything is already cooked, you are just melding it all together.

Recipe Video


sausage Mac And Cheese


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