Creamy Smoked Sausage Mac and Cheese

Featured in Satisfying Main Courses.

This comforting classic combines sliced smoked sausage, sharp cheddar, and elbow macaroni in a creamy cheese sauce. The sausage is browned for savory flavor, while milk and butter form a rich base for the sauce. Gradual cheese melting ensures smooth, velvety texture, coating every bite of al dente pasta and sausage. Quick and satisfying, it comes together in about 30 minutes, making it ideal for busy nights or family gatherings. Serve immediately for gooey perfection and adjust seasoning to taste. Enjoy a hearty meal that brings warmth and nostalgia to the table.

Barbara Chef
Updated on Mon, 14 Jul 2025 02:23:48 GMT
A plate of macaroni and sausage. Pin it
A plate of macaroni and sausage. | gracefulflavors.com

There is nothing quite like a bubbling pot of creamy smoked sausage mac and cheese to bring everyone to the table. When the weather cools off or you just need a good bowl of comfort, this recipe delivers on rich flavor and heartiness. The combination of smoky sausage and sharp cheddar running through the tender pasta is always a crown-pleaser at my house, and it all comes together in just half an hour.

I made this for my family during a school snow day and it instantly became our cold-weather tradition. Seeing everyone go back for seconds is always a win.

Ingredients

  • Smoked sausage: Adds deep smoky flavor and protein Look for one with natural casing and no fillers for best texture
  • Sharp cheddar cheese: Gives that bold cheesy bite Go for a block and shred it yourself for the best melt and flavor
  • Elbow macaroni: Classic shape holds onto the sauce well Aim for a good quality brand that cooks up tender
  • Milk: Forms the base of the creamy sauce Whole milk gives the best richness but two percent works if needed
  • Unsalted butter: Creates a silky roux and rich mouthfeel Always use unsalted so you can control the salt
  • All-purpose flour: Thickens the cheese sauce Make sure it is fresh and not stale for a smooth result
  • Salt: Balances and boosts flavors Taste your dish before serving to get it just right

Step-by-Step Instructions

Sauté the Sausage:
Lightly brown the sliced smoked sausage in a large skillet over medium heat Allow it to caramelize just a bit for maximum flavor then drain on paper towels Set aside for later
Prep the Cheese:
Grate your block of sharp cheddar cheese using a box grater Freshly grated cheese melts much smoother Set aside and try not to snack too much
Boil the Pasta:
Cook elbow macaroni according to the package instructions You want it just al dente so it holds up in the cheese sauce Drain well and set aside
Warm the Milk:
Pour the milk into a microwavable container and gently heat until quite warm but not boiling This helps create a lump-free sauce in the next step
Make the Roux:
Melt the unsalted butter in a large stock pot or Dutch oven over medium heat Whisk in the flour and cook for about one minute stirring constantly The mixture should smell nutty but not look brown
Build the Cheese Sauce:
Slowly whisk in the warm milk a little at a time stirring constantly Continue to cook stirring very frequently until the sauce thickens and coats the back of a spoon This usually takes about five minutes
Melt in the Cheese:
Reduce the heat to low and gradually stir in the shredded cheese Keep stirring until all the cheese has melted into a smooth silky sauce Add the salt and mix thoroughly
Combine Everything:
Add the cooked pasta and browned sausage to the cheese sauce and stir very well until everything is evenly coated Taste and adjust salt and pepper as needed Serve while steaming hot for best texture
A close up of a delicious macaroni and cheese dish. Pin it
A close up of a delicious macaroni and cheese dish. | gracefulflavors.com

The smoked sausage is my absolute favorite part It brings a depth of flavor you cannot get from cheese alone This dish always reminds me of family movie nights with big bowls and all of us fighting over that last spoonful

Storage Tips

Store any leftovers in an airtight container in the refrigerator for three to four days When reheating add a splash of milk and warm gently on the stovetop or in the microwave to loosen the sauce The cheese will turn creamy again with just a little moisture

Ingredient Substitutions

You can swap smoked sausage for turkey sausage or kielbasa if you prefer something lighter Sometimes I use Monterey Jack cheese for a meltier texture or a blend of cheeses for a little variety For a bit of green you can stir in cooked broccoli or peas just before serving

Serving Suggestions

I like to serve this dish with a crisp green salad to balance the richness or simple steamed green beans It also pairs beautifully with roasted vegetables for a more complete meal For a bit of zing top with crunchy fried onions or a sprinkle of smoked paprika

A plate of macaroni and cheese with sausage. Pin it
A plate of macaroni and cheese with sausage. | gracefulflavors.com

Recipe Roots

Classic macaroni and cheese originated as a homey dish in England but became an American staple over the last century Adding smoked sausage takes inspiration from Southern kitchens where hearty one-pot meals are beloved It is the ultimate blend of comfort and flavor

Frequently Asked Questions

→ Can I use a different type of sausage?

Yes, feel free to use turkey, chicken, or hot smoked sausages to suit your taste preferences.

→ What cheese works best for extra creaminess?

Sharp cheddar delivers great flavor and smoothness, but you can mix in Monterey Jack or gouda for extra richness.

→ How should leftovers be stored?

Store cooled leftovers in an airtight container in the fridge for up to 3 days. Reheat gently with a splash of milk.

→ Can I make this dish ahead of time?

Prepare the components in advance and assemble just before serving for best texture and flavor.

→ Are there gluten-free options for this meal?

Yes, substitute gluten-free pasta and use a gluten-free flour blend for the roux to create a gluten-free version.

Creamy Smoked Sausage Mac Cheese

Smoked sausage and sharp cheddar make this creamy macaroni dish rich, satisfying, and perfect for any comfort food craving.

Prep Time
5 Minutes
Cook Time
25 Minutes
Total Time
30 Minutes
By: Barbara

Category: Hearty Mains

Difficulty: Easy

Cuisine: American

Yield: 6 Servings (One large pot)

Dietary: ~

Ingredients

→ Main Ingredients

01 1 (13-ounce) package smoked sausage, sliced
02 1 (16-ounce) block sharp cheddar cheese, 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

Instructions

Step 01

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

Step 02

Grate the sharp cheddar cheese using a box grater. Set the grated cheese aside.

Step 03

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

Step 04

Pour the 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 the unsalted butter over medium heat. Whisk in the flour and cook, stirring constantly, for 1 minute.

Step 06

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

Step 07

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

Notes

  1. Use freshly grated cheese for the smoothest sauce consistency.
  2. For best texture, serve immediately after combining all components.

Tools You'll Need

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

Allergy Information

Please check ingredients for potential allergens and consult a health professional if in doubt.
  • Contains dairy (milk, cheese, butter) and gluten (all-purpose flour, macaroni).

Nutrition Facts (Per Serving)

It is important to consider this information as approximate and not to use it as definitive health advice.
  • Calories: 1014
  • Total Fat: 61 g
  • Total Carbohydrate: 73 g
  • Protein: 42 g