Creamy Smoked Sausage Mac Cheese

Category: Dinner Ideas That Actually Work

Homemade mac and cheese with smoked sausage. Brown sausage, make cheese sauce from scratch, combine with pasta. Serves 8 in 35 minutes.
Clare Recipes
Created By Lily Chen
Updated on Thu, 17 Jul 2025 16:04:01 GMT
A plate of macaroni and cheese with sausage. Save
A plate of macaroni and cheese with sausage. | lilicooks.com

This ultimate comfort food combines the nostalgic appeal of classic mac and cheese with the hearty satisfaction of smoky sausage, creating a dish that feels both familiar and elevated. The rich, velvety cheese sauce clings perfectly to tender elbow macaroni while chunks of caramelized smoked sausage add protein and deep, savory flavor that transforms this from a simple side dish into a complete meal. Every spoonful delivers that perfect balance of creamy, cheesy goodness with smoky depth that makes this irresistible to both kids and adults.

The first time I made this during a school snow day, I was just trying to use up ingredients we had on hand, but it instantly became our family's go-to comfort meal. Watching everyone gather around the pot for seconds and thirds reminded me why the best family recipes are often the simplest ones that bring genuine joy to the table. Now it's become our tradition for cold weather days when we need something warm and satisfying.

Essential Components

  • Smoked sausage: Choose quality sausage with natural casing and minimal fillers for the best texture and flavor
  • Sharp cheddar cheese: Block cheese that you shred yourself melts more smoothly and provides better flavor than pre-shredded
  • Elbow macaroni: The classic shape holds sauce perfectly, though any short pasta with ridges or tubes works well
  • Whole milk: Full-fat milk creates the richest, creamiest sauce, though two percent works if needed
  • Unsalted butter: Allows you to control salt levels while creating the silky roux base for the sauce
  • All-purpose flour: Fresh flour creates smooth thickening without lumps or off flavors
  • Salt and pepper: Essential for balancing and enhancing all the other flavors in the dish

Detailed Cooking Process

Sausage Preparation:
Slice smoked sausage into rounds approximately half-inch thick and brown them in a large skillet over medium heat. Allow the sausage to caramelize slightly for maximum flavor development, creating those delicious golden edges that add visual appeal and concentrated taste. Drain on paper towels and set aside.
Cheese Preparation:
Grate sharp cheddar cheese using a box grater, creating uniform pieces that will melt smoothly and evenly. Freshly grated cheese melts much better than pre-shredded varieties, which contain anti-caking agents that can create grainy textures in the finished sauce.
Pasta Cooking:
Cook elbow macaroni according to package directions just until al dente, maintaining a slight bite since it will continue cooking when combined with the hot cheese sauce. Drain thoroughly and set aside, avoiding rinsing which removes the starch that helps sauce adhere.
Milk Warming:
Heat milk in a microwave-safe container until warm but not boiling, which helps create a lump-free sauce when combined with the roux. This step prevents temperature shock that can cause the sauce to break or become grainy.
Roux Creation:
Melt unsalted butter in a large stock pot or Dutch oven over medium heat, then whisk in flour and cook for about one minute while stirring constantly. The mixture should smell nutty but not turn brown, creating the foundation for a smooth, well-thickened sauce.
Sauce Development:
Slowly whisk warm milk into the roux, adding it gradually while stirring constantly to prevent lumps from forming. Continue cooking while stirring frequently until the sauce thickens enough to coat the back of a spoon, which typically takes about five minutes.
Cheese Integration:
Reduce heat to low and gradually stir in the shredded cheese, adding it in small handfuls while stirring constantly until completely melted into a smooth, silky sauce. Low heat prevents the cheese from breaking or becoming stringy.
Final Assembly:
Add cooked pasta and browned sausage to the cheese sauce, stirring thoroughly until everything is evenly coated. Taste and adjust seasoning with salt and pepper as needed, then serve immediately while hot for the best texture and flavor.
A plate of pasta with sausage and green herbs. Save
A plate of pasta with sausage and green herbs. | lilicooks.com

This hearty dish has become my favorite way to create a satisfying meal that keeps everyone full and happy for hours. The substantial protein from the sausage and cheese means it's incredibly filling, and I love knowing that we're getting quality nutrition along with all that comfort food satisfaction. Even my health-conscious friends appreciate how this delivers genuine nourishment in a format that feels like a special treat.

Perfect Pairings

Serve this rich mac and cheese alongside a crisp green salad with tangy vinaigrette to cut through the creamy richness, or pair with steamed green beans or roasted broccoli for colorful contrast. Simple roasted vegetables like carrots or Brussels sprouts complement the smoky flavors beautifully, while crusty bread provides a nice textural contrast for soaking up any extra sauce.

Creative Variations

Transform this basic recipe by using different sausage varieties like turkey sausage for lighter options or kielbasa for different flavor profiles. Cheese combinations like Monterey Jack or Gruyère create new taste experiences, while adding cooked broccoli or peas during the final mixing provides extra nutrition and color. For extra indulgence, top with crispy fried onions or a sprinkle of smoked paprika.

Storage Solutions

Store leftovers in airtight containers in the refrigerator for three to four days, where the flavors actually meld and improve. Reheat gently on the stovetop with a splash of milk to restore the creamy consistency, or use the microwave in short intervals while stirring frequently. The cheese sauce will become creamy again with just a little added moisture and gentle heating.

A plate of macaroni and sausage. Save
A plate of macaroni and sausage. | lilicooks.com

This recipe has taught me that the most beloved comfort foods often come from taking simple, familiar ingredients and treating them with care and attention to technique. The transformation of basic mac and cheese into something special through the addition of smoky sausage and proper sauce-making methods proves that great cooking doesn't require exotic ingredients - just quality components prepared with love. Every time I make this, I'm reminded that the best family recipes are the ones that bring genuine joy and satisfaction to everyone gathered around the table.

Recipe FAQs

→ Can I use pre-shredded cheese instead of grating my own?
Fresh grated cheese melts much smoother. Pre-shredded has anti-caking agents that can make the sauce grainy or lumpy.
→ What type of smoked sausage works best?
Any good quality smoked sausage like kielbasa, andouille, or even turkey sausage works great. Just slice it into rounds.
→ How do I prevent the cheese sauce from getting lumpy?
Warm the milk first and add it gradually to the roux while whisking constantly. Add cheese slowly on low heat.
→ Can I make this ahead of time?
This is best served fresh, but you can prep components ahead. The sauce may thicken when reheated, so add a splash of milk.
→ How do I store leftovers?
Store in the fridge for up to 3 days. Reheat gently on the stove with a little milk to restore creaminess.

Creamy Smoked Sausage Mac Cheese

Ultimate comfort food - creamy mac and cheese loaded with smoky sausage and made with real sharp cheddar!

Preparation Time
15 min
Cooking Time
20 min
Overall Time
35 min
Created By: Lily Chen

Category: Main Dishes

Skill Level: Moderate

Cuisine Type: American

Output: 8 Serves (8 servings)

Dietary Options: ~

Ingredients

→ Main Ingredients

01 1 (13-ounce) package smoked sausage, sliced into rounds
02 1 (16-ounce) block sharp cheddar cheese, freshly grated
03 1 (1-pound) box elbow macaroni

→ Sauce Base

04 4 cups whole milk
05 6 tablespoons unsalted butter
06 6 tablespoons all-purpose flour
07 1 teaspoon salt

Steps

Step 01

Lightly brown sliced smoked sausage in a large skillet over medium heat. Remove from pan and drain on paper towels. Set aside.

Step 02

Using a box grater, grate the sharp cheddar cheese and set aside for later use.

Step 03

Cook elbow macaroni according to package directions in boiling salted water. Drain well and set aside.

Step 04

Pour milk into a microwave-safe container and heat until just warm, about 2.5 minutes.

Step 05

In a large stock pot or Dutch oven, melt butter over medium heat. Whisk in flour and cook, stirring constantly, for 1 minute.

Step 06

Gradually add warm milk to the roux, whisking constantly. Cook, stirring frequently to prevent scorching, until sauce thickens (about 5 minutes). Reduce heat to low and slowly add grated cheddar, stirring until fully melted. Mix in salt.

Step 07

Add cooked pasta and browned sausage to the cheese sauce. Stir until thoroughly combined. Adjust salt and pepper to taste and serve immediately.

Tips

  1. Use freshly grated cheese for the smoothest sauce consistency
  2. For best texture, serve immediately after combining all components
  3. Warming the milk helps prevent lumps when making the roux

Required Tools

  • Large skillet
  • Large stock pot or Dutch oven
  • Box grater
  • Whisk
  • Microwave-safe container
  • Paper towels
  • Colander

Allergy Information

Always check each ingredient for allergens, and consult a medical professional if unsure.
  • Contains dairy (milk, butter, cheddar cheese)
  • Contains gluten (flour, elbow macaroni)
  • May contain soy (smoked sausage)
  • May contain traces of eggs (pasta)

Nutritional Information (per serving)

These details are shared for general guidance and don’t replace professional advice.
  • Calories: 520
  • Fats: 24 g
  • Carbohydrates: 48 g
  • Proteins: 26 g