Macaroni and Cheese with Sausage and Pears

Macaroni and Cheese with Sausage and Pears

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ShirleyB 1

"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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1 h 5 m servings 443 cals
Serving size has been adjusted!

Original recipe yields 8 servings



  • Calories:
  • 443 kcal
  • 22%
  • Fat:
  • 24.4 g
  • 38%
  • Carbs:
  • 36.9g
  • 12%
  • Protein:
  • 19 g
  • 38%
  • Cholesterol:
  • 71 mg
  • 24%
  • Sodium:
  • 441 mg
  • 18%

Based on a 2,000 calorie diet

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Nutritional Information

1 Serving
Servings Per Recipe:
Amount Per Serving
  • * Percent Daily Values are based on a 2,000 calorie diet. Your daily values may be higher or lower depending on your calorie needs.
  • ** Nutrient information is not available for all ingredients. Amount is based on available nutrient data.
  • (-) Information is not currently available for this nutrient. If you are following a medically restrictive diet, please consult your doctor or registered dietitian before preparing this recipe for personal consumption.


  • Prep

  • Cook

  • Ready In

  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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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 rec...

This recipe turned out amazing. Everyone loved it!

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 del...

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 fenn...

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.

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...

Oh Yea! All I can say is this is like no other! At first I was wondering if it would be good but figured why not! I did add 1extra cup of mozzarella cheese and didn't have bread crumbs so I put ...

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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