Macaroni and Cheese with Sausage and Pears Recipe -
Macaroni and Cheese with Sausage and Pears Recipe

Macaroni and Cheese with Sausage and Pears

Recipe by  

"I developed this recipe from a basic mac-n-cheese recipe, adding pears which go well with the sharp Cheddar. For the sausage, we like Aidell's® Chicken and Apple or Roasted Garlic Gruyere sausages. They are fully cooked and very flavorful! To use as a side dish, leave out the sausage."

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Ingredients Edit and Save

Original recipe makes 8 servings Change Servings
  • PREP

    15 mins
  • COOK

    50 mins

    1 hr 5 mins


  1. Preheat oven to 350 degrees F (175 degrees C). Spray a 3-quart casserole dish with cooking spray.
  2. Bring a large pot of lightly salted water to a boil. Cook elbow macaroni in the boiling water, stirring occasionally until cooked through but firm to the bite, 8 minutes. Drain macaroni and transfer to the prepared casserole dish.
  3. Heat butter in a saucepan over medium heat; cook and stir onions in the melted butter until partially translucent, about 5 minutes. Whisk in flour until paste-like consistency, 3 to 5 minutes. Slowly stream in milk, stirring constantly, until flour mixture is incorporated, about 5 minutes. Stir in Cheddar cheese and Parmesan cheese until completely melted and and sauce has thickened, 5 to 10 minutes.
  4. Pour cheese sauce into macaroni; stir to coat. Season with black pepper. Stir in sausage.
  5. Reserve 4 slices of pears; dice remaining pear slices and stir into macaroni mixture. Arrange the reserved slices atop macaroni mixture.
  6. Stir 2 tablespoons melted butter and bread crumbs together in a small bowl; sprinkle over macaroni mixture.
  7. Bake in the preheated oven until cheese is bubbling and topping is lightly browned, about 30 minutes.
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Reviews More Reviews

Mar 11, 2015

This is THE BEST mac and cheese EVER! The sausage with the pear makes it mouth watering, and it comes out of the oven bubbling and scenting the whole house with homemade goodness. I highly recommend! I made a huge casserole and it disappeared almost immediately.

Oct 13, 2012

This recipe turned out amazing. Everyone loved it!

Apr 09, 2015

I served this Mac and Cheese with a salad and my family said it was a great meal. I followed the recipe to a T until I only found Colby Jack cheese in my fridge. I used it and it was still delicious with the pear. Next time I will try with cheddar. To another reviewer, if your sauce is gritty either your Parmesan was of low quality or you overheated your sauce and it separated. Don't hard boil the milk based sauce. Will make again, thanks.

Apr 25, 2014

Really good recipe. It reminds me of all the best stuff on the cheese/fruit/sausage tray. It's also really adaptable - I used shallots instead of onions. I could see mushrooms or roasted fennel also being a great addition

Feb 15, 2014

The pear gave this recipe great flavour, i wld. make it again and perhaps try different fruits, i used pear as i had mark down pears - but it was good.

Jan 23, 2014

This turned out pretty well. I forgot to get pears at the store so I made it without. I did add a small can of diced peppers to give it a little extra spice. The texture of the sauce did turn out a bit grainy, I'm wondering if maybe the parmesan did that since I've made similar sauces and never had that trouble. I think we will try this recipe again, maybe with a spicier meat and no parmesan. I also didn't add any butter to the bread crumbs, just sprinkled them on top before baking it.

Nov 13, 2012

Its pretty tasty, I bet it'd be better with smoked sausage. I used sweet sausage. Everyone enjoyed it. I didn't use pears, sounded crazy. I used less sausages.


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  • Calories
  • 443 kcal
  • 22%
  • Carbohydrates
  • 36.9 g
  • 12%
  • Cholesterol
  • 71 mg
  • 24%
  • Fat
  • 24.4 g
  • 38%
  • Fiber
  • 2.4 g
  • 9%
  • Protein
  • 19 g
  • 38%
  • Sodium
  • 441 mg
  • 18%

* Percent Daily Values are based on a 2,000 calorie diet.

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