Sausage, Tomato, Macaroni and Cheese Casserole

Total Time
Prep 20 mins
Cook 30 mins

I love Mac and Cheese with tomatoes. Using Rotel tomatoes adds a touch of heat and the sausage enriches the other ingredients.

Ingredients Nutrition


  1. Preheat oven to 350°F.
  2. Grease a 2 quart shallow casserole.
  3. Heat water for the macaroni.
  4. Brown sausage in a large skillet, breaking up the sausage with the side of a spoon as it cooks.
  5. Pour into a colander to drain.
  6. Add the milk and processed cheese to the skillet, cook and stir over low heat until the cheese is melted.
  7. Stir in the sausage and tomatoes and remove from the heat.
  8. Cook the macaroni according to package directions while making the sauce, drain and mix into the sausage, cheese, tomato mixture.
  9. Spoon into the prepared casserole, top with grated cheese and bake 25-30 minutes.
  10. Let stand 5-10 minutes before serving.


Most Helpful

How could I not give five stars to this hearty and inexpensive meal? I used grated cheddar cheese, instead of processed cheese, but otherwise made no substitutions and it was wonderful. My favourite part was the nice crusty topping that the parmesan forms when you bake this in the oven. Thanks for sharing!

Sackville December 03, 2002

This is great! Tasty and easy to make. I didn't have Rotel, so I used 14 oz of diced tomatoes and added some chopped onion and chopped green chilies. Thanx for a wonderful quick meal! I'll make this again.

*Parsley* December 06, 2008

will make again 'cause the kids liked it a lot - nxt time I will use the processed cheddar - I used shredded and I think that's what made it not quite as creamy. I might also add diced chilis for a little zing.

ShortCutMom December 06, 2007

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