Sausage, Tomato, Macaroni and Cheese Casserole

"I love Mac and Cheese with tomatoes. Using Rotel tomatoes adds a touch of heat and the sausage enriches the other ingredients."
photo by *Parsley* photo by *Parsley*
photo by *Parsley*
photo by Sackville photo by Sackville
Ready In:




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

Questions & Replies

default avatar
Got a question? Share it with the community!


  1. Sackville
    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!
  2. *Parsley*
    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.
  3. ShortCutMom
    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.
  4. Princess Tomato
    This was pretty good - fattening, of course. ;) It wasn't as creamy as I would have liked. It was kinda gooey and clumpy, but still tasted great!


<p><img src= alt= /> I am an escapee from a previous life of professional employment in various fields of <img src= alt= /> nursing, management and occupational health and saftey. <br /><br />We moved to Arizona 13 years ago after having spent all our life in different areas of MA. <br />I live with Mr. Lorac <img src= alt= /> and 2 black cats <img src= alt= /> Mo (Mozart) and <img src= alt= /> Go (Van Gogh). <br />I love doing creative things - <img src= alt= /> oil painting, sewing, crafts, decorating and especially cooking. <img src= alt= /> <br /><br />I enjoy digging through antique/thrift stores looking for treasures, art of any age, shape or form, <img src= alt= /> classical music, suspense- thriller type fiction and people watching. <br />I have 2 married sons, 2 wonderful daughter-in-laws, 4 <img src= alt= /> grandcats and 1 grandson <img src= alt= /> born on the 4th of July ! <br /><br /><br />I Co-Host <img src= alt= /> the Recipe Request and Eastern European Forums. <br /><br /><br /><img src= border=0 alt=Photo Sharing and Video Hosting at Photobucket /> <br /><img src= alt= /> <img src= alt= /> <br /><img src= border=0 alt=Photo Sharing and Video Hosting at Photobucket /> <img src= border=0 alt=Photo Sharing and Video Hosting at Photobucket /> <br /><a href= target=_blank><img src= alt= /></a> <br /><a href= target=_blank><img src= alt= /></a> <a href= target=_blank><img src= alt= /></a> <a href= target=_blank><img src= alt= /></a> <br /><br /><br /><br /><br /><br /><br /><img src= alt= /></p>
View Full Profile

Find More Recipes