Ham Tetrazzini Pasta Bake

By: Barbara Updated on Tue, 07 Apr 2026 20:08:21 GMT Hearty Mains
Barbara, recipe developer and home cook at Graceful Flavors
Barbara

Hi, I'm Barbara, the recipe developer and home cook behind Graceful Flavors. I share approachable recipes with clear steps, familiar ingredients, and delicious results for real everyday kitchens.

Updated on Tue, 07 Apr 2026 20:08:21 GMT

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A bowl of pasta with ham and cheese. Pin it
A bowl of pasta with ham and cheese.

This ham tetrazzini is the ultimate comfort food casserole that transforms simple ingredients into a creamy, cheesy feast. It’s a fantastic way to use up leftover ham while serving a crowd with minimal fuss. The combination of tender spaghetti, a rich sauce, and melted cheese makes it a family favorite that always hits the spot.

I first made this after a holiday dinner when ham was plentiful. Since then it’s become my go-to comfort meal for chilly evenings and casual family gatherings.

Ingredients

  • One pound dry thin spaghetti: cooks quickly and holds sauce well, choose a high-quality brand for better texture
  • Ten ounce can cream of chicken soup undiluted: adds savory creaminess, opt for one with fewer additives if possible
  • Ten ounce can cream of mushroom soup undiluted: brings earthiness and depth, fresh mushroom flavor works best
  • Two cups sour cream: enriches the sauce with a tangy creaminess, full-fat varieties yield the best result
  • Half cup melted butter: adds silkiness and helps with the sauce’s smooth texture, use unsalted to control salt levels
  • Half cup low-sodium chicken broth: balances the heaviness, low sodium prevents the dish from becoming too salty
  • One teaspoon salt: enhances the other flavors but adjust to taste especially if your ham is salty
  • Half teaspoon pepper: just enough to add mild warmth without overpowering
  • Quarter teaspoon garlic powder: infuses subtle garlic notes, fresh garlic can be used but requires extra sautéing
  • Half cup frozen peas and carrots: add color and a tender crunch, frozen keeps prep easy and consistent
  • One pound cooked ham diced small: the star ingredient, leftover ham works best for flavor and cost-efficiency
  • Two cups shredded Colby jack cheese: melts beautifully and brings creamy mild sharpness, freshly shredded is ideal
  • Two tablespoons grated Parmesan cheese: offers a nutty finish with a slightly tangy bite, quality Parm makes a difference
  • Fresh chopped parsley for garnish: brightens with fresh herbal notes and a pop of green

Step-by-Step Instructions

Preheat the Oven:
Set your oven to 350 degrees Fahrenheit and prepare a 9 by 13-inch baking dish by spraying it lightly with nonstick cooking spray. This prevents sticking and makes cleanup easier.
Cook the Pasta:
Bring a large pot of salted water to a boil and cook the thin spaghetti just until al dente following the package instructions. Drain thoroughly but do not rinse, keeping the starch that helps the sauce cling to the noodles.
Make the Sauce:
In a large mixing bowl whisk together the cream of chicken soup and cream of mushroom soup with the sour cream, melted butter, chicken broth, salt, pepper, and garlic powder. Stir well until completely combined and smooth. The mixture should be thick but pourable.
Combine Everything:
Add the frozen peas and carrots, diced ham, and cooked spaghetti into the bowl with the sauce. Toss gently but thoroughly until every strand of spaghetti is coated evenly and the vegetables and ham are well distributed.
Transfer to Baking Dish:
Pour the pasta mixture into the prepared baking dish, spreading it out evenly. Sprinkle the shredded Colby jack cheese along with the grated Parmesan evenly over the top to create a cheesy crust.
Bake Covered:
Cover the dish tightly with aluminum foil and bake in the preheated oven for 30 minutes. This step allows the flavors to meld and the casserole to heat through without drying out.
Bake Uncovered:
Remove the foil and return the dish to the oven for another 15 minutes. This melts and browns the cheese topping, creating that irresistible golden crust.
Garnish and Serve:
Take the casserole out of the oven and let it rest for 5 to 10 minutes. This helps it set and cool slightly for easier serving. Sprinkle fresh chopped parsley on top for a fresh herbal finish. Serve warm and enjoy.

My favorite ingredient is the sour cream because it adds a tangy creaminess that lifts the heaviness of the soups. One holiday evening, my whole family requested a second helping, and it instantly became a treasured recipe passed down in our household.

Storage Tips

Store leftovers in an airtight container in the refrigerator for up to four days. When reheating, cover loosely with foil and bake at 350 degrees until warmed through to maintain moisture and prevent drying out. This casserole also freezes well; thaw completely in the fridge before reheating or bake from frozen adding extra time.

Ingredient Substitutions

Swap the cream of chicken and cream of mushroom soups for homemade béchamel or a homemade cream sauce for a fresher, less processed option. Use Greek yogurt instead of sour cream for a tangier, lighter finish. Substitute turkey or cooked chicken if you do not have ham on hand. Different cheese combinations like mozzarella or cheddar can give new flavor profiles to the dish.

Serving Suggestions

Pair ham tetrazzini with a crisp green salad dressed with a light vinaigrette to cut through the richness. Steamed fresh green beans or roasted asparagus make great veggie sides that complement the creamy casserole. A simple garlic bread or crusty rolls round out the meal nicely.

Cultural Context

Tetrazzini is named after Luisa Tetrazzini, a famous Italian opera singer from the early 1900s, though the dish itself is a distinctly American casserole creation. It became popular in mid-century America as a way to stretch leftovers into an elegant yet comforting one-dish meal, blending creamy sauce, pasta, and protein.

Frequently Asked Questions

What type of pasta works best for this dish?

Thin spaghetti cooked al dente holds the creamy sauce well and bakes evenly in this casserole.

Can I use different cheeses for topping?

Yes, mild cheeses like mozzarella or cheddar can replace Colby jack and Parmesan, keeping a creamy, melted finish.

How can I make the casserole more flavorful?

Using low-sodium chicken broth and seasoning with garlic powder, salt, and pepper enhances the savory profile without overwhelming.

Is it possible to prepare this ahead of time?

Yes, assemble the mixture and refrigerate before baking; bring to room temperature before baking for even cooking.

What vegetables can be added or substituted?

Frozen peas and carrots provide sweetness, but green beans or mushrooms can also complement the flavors nicely.

4.20 from 75 votes

Ham Tetrazzini Pasta Bake

Prep Time:
15 Minutes
Cook Time:
45 Minutes
Total Time:
60 Minutes
Servings:
8
A bowl of pasta with ham and cheese.

Tender spaghetti tossed with diced ham, creamy cheeses, and vegetables baked to golden perfection.

Ingredients

  • Pasta

  • 1 lb dry thin spaghetti
  • Sauce

  • 10 oz can cream of chicken soup, undiluted
  • 10 oz can cream of mushroom soup, undiluted
  • 2 cups sour cream
  • ½ cup butter, melted
  • ½ cup low-sodium chicken broth
  • 1 tsp salt
  • ½ tsp pepper
  • ¼ tsp garlic powder
  • Vegetables

  • ½ cup frozen peas and carrots
  • Protein

  • 1 lb cooked ham, diced small
  • Cheese

  • 2 cups shredded Colby Jack cheese
  • 2 tbsp grated Parmesan cheese
  • Garnish

  • Fresh chopped parsley

Instructions

1.

1. Preheat Oven and Prepare Dish: Preheat the oven to 350°F. Lightly coat a 9x13 inch baking dish with nonstick cooking spray and set aside.

2.

2. Cook Spaghetti: Boil salted water in a large pot and cook the thin spaghetti until al dente according to package instructions. Drain thoroughly.

3.

3. Mix Sauce Ingredients: In a large mixing bowl, whisk together cream of chicken soup, cream of mushroom soup, sour cream, melted butter, chicken broth, salt, pepper, and garlic powder until smooth.

4.

4. Combine Ingredients: Fold in frozen peas and carrots, diced ham, and cooked spaghetti into the sauce mixture, tossing until everything is evenly coated.

5.

5. Assemble Casserole: Transfer the combined mixture into the prepared baking dish. Evenly sprinkle the shredded Colby Jack and grated Parmesan cheeses over the top.

6.

6. Bake Covered: Cover the dish with foil and bake in the preheated oven for 30 minutes.

7.

7. Bake Uncovered: Remove the foil and continue baking for an additional 15 minutes, until the cheese is melted and the casserole is heated through.

8.

8. Garnish and Rest: Remove from oven, sprinkle with fresh chopped parsley, and let stand for 5 to 10 minutes before serving.

Notes

  1. Allowing the casserole to rest before serving ensures flavors meld and prevents burning of the mouth from hot cheese.

Tools You'll Need

  • 9x13 inch baking dish
  • Large pot
  • Mixing bowl

Allergy Information

Please check ingredients for potential allergens and consult a health professional if in doubt.
  • Contains dairy and gluten; pasta contains wheat gluten.
  • Contains chicken soup which may include soy and other allergens.