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Home » Recipes » Main Course
38 Comments

Creamy Smoked Sausage Mac and Cheese

Stacey Littleby Stacey Little Updated: Jun 9, 2025

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This creamy mac and cheese with smoked sausage is a quick, hearty stovetop supper the whole family will love—ready in about 30 minutes!

Creamy Smoked Sausage Mac and Cheese in blue serving bowl

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Busy weeknights and picky eaters can make mealtime a challenge. When my son Jack was little, he was a bit picky and wishy-washy with his food choices. One day, he’d eat salads with blue cheese on them and roasted Brussels sprouts. The next day, he wouldn’t eat the crispy end pieces on chicken fingers. Go figure.

One thing that we could always guarantee he’d eat was mac and cheese, so I set out to develop the perfect macaroni and cheese recipe, but with added sausage for a bit of protein. And boy, did it turn out delicious!

Creamy Smoked Sausage Mac and Cheese with package of sausage in background

This recipe is easy to make and oh so good… even adults approve! The creamy base of this stove-top mac and cheese is the perfect complement to the smoky flavor of the sausage. And it’s SO easy!

You’ll have this dish on the table in about 30 minutes, which makes it perfect for those busy weeknights… or any night for that matter! Pair this with fresh veggies or a salad, and you’re ready to eat!

Do I have to use freshly shredded cheese?

I love the convenience of using the pre-shredded cheeses that come ready for you in the bag, but in this case, shredding your own cheese is best. The powdery substance they use to keep the shreds from sticking together in the bag can often make a cheese sauce like this grainy. To avoid that, grate it yourself. It’s an extra step, but I think it’s worth it.

Can you use the other stuff? Sure, you can. Just know it might make the texture a little different. But I also know that sometimes we can overlook something like that in turn for convenience. That’s cool. You do you.

Creamy Smoked Sausage Mac and Cheese close photo

Do I have to make a roux?

Yes, you’re making a roux, which will turn into a béchamel sauce, but don’t panic. The names are scary, but the process isn’t. This method is the best way to keep a stovetop mac and cheese nice and creamy. And seriously, don’t stress. Just follow my instructions, stir frequently, and you’ve got this.

Creamy Smoked Sausage Mac and Cheese close photo
Creamy Smoked Sausage Mac and Cheese close photo
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4.60 from 15 votes

Recipe Card

Creamy Smoked Sausage Mac and Cheese

Author Stacey Little
Course Main Course
Cuisine American
Prep Time 5 minutes minutes
Cook Time 25 minutes minutes
Total Time 30 minutes minutes
Servings 6
Calories 1014kcal

Ingredients

  • 1 (13-ounce) package smoked sausage, sliced
  • 1 (16-ounce) block sharp cheddar cheese
  • 1 (1-pound) box elbow macaroni
  • 4 cups milk
  • 6 tablespoons unsalted butter
  • 6 tablespoons all-purpose flour
  • 1 teaspoon salt

Instructions

  • Lightly brown the sausage in a large skillet over medium heat. Remove from the pan and drain on paper towels. Set aside.
  • Grate the cheese on a box grater. Set aside.
  • Cook the pasta according to the package instuctions and drain. Set aside.
  • Pour the milk into a microwavable container and heat until warm – about 2 1/2 minutes.
  • In a large stock pot or dutch oven, melt the butter over medium heat. Whisk in the flour and cook for 1 minute, stirring constantly. Gradually add the warm milk, whisking constantly until it has all been added. Cook, stirring very frequently to prevent scorching, until thick – about 5 minutes.
  • Reduce the heat to low and gradually add the shredded cheese, stirring constantly until melted. Add the salt and mix well. Add the pasta and sausage to the pot and mix well. Add additional salt and pepper to taste. Serve immediately.

Nutrition

Calories: 1014kcal | Carbohydrates: 73g | Protein: 42g | Fat: 61g | Saturated Fat: 31g | Polyunsaturated Fat: 4g | Monounsaturated Fat: 18g | Trans Fat: 0.5g | Cholesterol: 168mg | Sodium: 1488mg | Potassium: 628mg | Fiber: 3g | Sugar: 10g | Vitamin A: 1371IU | Vitamin C: 1mg | Calcium: 763mg | Iron: 2mg


* If nutritional values are provided, they are an estimate and will vary depending on the brands used. The values do not include optional ingredients or when ingredients are added to taste. If calorie count and other nutritional values are important to you, I recommend grabbing your favorite brands and plugging those ingredients into an online nutritional calculator.

Creamy Smoked Sausage Mac and Cheese close photo
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Stacey Little of Southern Bite

Hey, y’all! I’m Stacey…

Feeding people makes me happy. There’s just something special about having the people I love gathered around the table, sharing good food and even better company. So go ahead and pull up a chair. You’re always welcome here.

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4.60 from 15 votes (4 ratings without comment)

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Comments

  1. DAVID

    June 13, 2026 at 5:40 pm

    5 stars
    Phenomenal!

    Reply
  2. Taylor

    March 5, 2026 at 6:34 pm

    5 stars
    This was so good I just wish I put a little extra sausage in it because I had extra noodles. Super easy! I also added some garlic powder to the sauce for some extra flavor. Definitely recommend!

    Reply
    • Stacey LittleStacey Little

      March 6, 2026 at 4:29 pm

      Looks great, Taylor! So glad to hear it turned out great for you!

      Reply
  3. Jordan owens

    January 10, 2026 at 10:02 am

    The wife and I tried this recipe and I think I may have got the roux a tad bit too hot so I added some lemon juice to it and saved it and still tasted wonderful, going to make it again tonight

    Reply
    • Stacey LittleStacey Little

      January 13, 2026 at 3:24 pm

      Glad you were able to make it work!

      Reply
  4. Megan Carstairs

    November 3, 2025 at 10:53 pm

    The ratio was correct. The only thing I can figure is, she didn’t cook it long enough just like you said to thicken it and another thing if it’s not her first rodeo, then she should know how to make our white sauce or whatever you wanna call it for every base like this it’s like standard 101. I made this recipe. It was great. The only thing that I changed was, I added bell pepper, onion, and a package of frozen broccoli, cauliflower carrots. It was perfect even before I added all the extras.

    Reply
    • Stacey LittleStacey Little

      November 5, 2025 at 3:24 pm

      Thanks, Megan!

      Reply
  5. Robert L Jones

    January 25, 2025 at 2:20 pm

    5 stars
    Wife never could make Mac and cheese, but this was so easy to make. Came out perfect! Delicious with kalbasa chopped and added in. Also a dash of cayenne, not to make it hot just highlight the flavor.

    Reply
    • Stacey LittleStacey

      January 27, 2025 at 9:29 am

      I’m so glad to hear that it turned out well for you! Adding a dash of cayenne sounds like a delicious twist.

      Reply
  6. Pissed off mom of 4 hungry kids wanting mac n cheese

    May 25, 2024 at 4:20 pm

    oh nice auto-reply you got there. Maybe you should actually READ comments and LEARN from others the things that don’t work in the recipe!!!
    I just wasted 12$ on a block of cheese for this recipe and it went down the drain -__-. SO UPSET ABOUT THIS. feeding a family is hard enough but to have to throw out food like that really grinds my gears. And no, if you ever read this and get to wondering…. my Rue was perfect so don’t blame it on that. The milk was EXCESSIVE and not needed.
    Never again will I try your recipes and I advise others not to either.
    You want kindness?!?!? stop wasting our money with your crap recipes, period!

    Reply
    • Stacey LittleStacey

      May 28, 2024 at 5:39 pm

      Hey, Jennifer! I read your comments this morning and decided to give myself some time to process through your rudeness before I replied. Most of the time when I encounter someone who can’t comment without the vulgar language, I just delete the comment. But my general rule of thumb is that if a comment might be helpful for another reader, I leave it up. And I think there are a few things to be learned here. So here we go…

      1. I’m not a lady. I’m a son, a husband, and a father. You might have noticed that from the “About Me” section of my website or from literally any page on the blog.
      2. The “auto-reply” you referenced is not an auto reply, but simply text above the comment section that is always there before and after comments. It’s not an auto reply.
      3. You can scan through the comments and see that I read and reply to nearly every single comment on this entire site. It’s something I pride myself on. Looking at the count right now, I’ve replied to nearly 16,000 comments.
      4. You are 100% correct in that wasting expensive ingredients is frustrating. And with the price of groceries, it’s even worse.
      5. It’s roux, not rue.
      6. A quick Google search will show you that this ratio of fat to flour to milk is very common and 100% works. I’ve made this exact recipe countless times and have used this béchamel base for tons of other recipes, so I know it works. In your case, it sounds like perhaps you just didn’t cook it long enough or at a high enough temperature to get the starch molecules in the flour to thicken the sauce. But then again, it’s much easier to blame someone else.
      7. My recipes are not crap. Just read some of the reviews. They are tried and true, tested recipes that do work.

      Here’s the thing… I know you’re upset. I get it. But coming on here and cussing at me – who gave you a free recipe without having to buy a cookbook – isn’t going to make your mac and cheese thicken up.

      Reply
      • Pam

        August 16, 2025 at 3:42 pm

        5 stars
        Good job Stacey!! She’s obviously a poor cook. I’m so glad you didn’t let her get away with that disrespectful comment! Love your recipes

      • Stacey LittleStacey

        August 18, 2025 at 11:51 am

        Thanks, Pam! I just couldn’t let that one go.

      • Elli Kelley

        September 30, 2025 at 1:16 pm

        You sir, are a badass. That’s all 😂❤️

      • Stacey LittleStacey Little

        October 3, 2025 at 12:51 pm

        Haha, thank you! I try to keep it kind around here, but sometimes you’ve just got to stand up for yourself. Appreciate the support!

  7. Pissed offf mom of 4 hungry kids wanting mac n cheese

    May 25, 2024 at 4:05 pm

    1 star
    This recipe sucks!!!!!
    OMG 4 CUPS OF MILK….. my cheese sauce was like fucking water….. ruined dinner entirely even though I followed your recipe to the letter and everything was measured exactly….. YOU SUCK AT THIS LADY1

    Reply
    • Anonymous

      August 11, 2024 at 12:30 pm

      5 stars
      This is the EASIEST sauce to make ever. I made it for many years with my homemade Mac and cheese. I am appalled that a complete stranger would come in here and comment in the way that you have, and to cuss at a complete stranger, whose given you the instructions to make a great sauce, LADY, maybe you need to take a step back and re-evaluate your choice of words, it’s a shame to be so angry towards someone like that, what does that teach your children… Maybe it isn’t the recipe, but rather the cook.

      As to the author, great recipe. I was just looking for suggestions of things to mix with my Mac and cheese.

      Reply
      • Stacey LittleStacey

        August 12, 2024 at 11:15 am

        Appreciate you! So glad to hear you enjoyed it!

  8. gareth j schoenthal

    February 24, 2023 at 8:15 am

    4 stars
    First, the recipe said serves 6, its more like 12. Liked it but needs adjusting, either double the sausage or HALF the mac and cheese. Also was missing something, I would brown some onion in the roux for additional flavor, maybe even some diced green pepper. Its a very simple and quick recipe, great for weeknight dinners where you are already tired.

    Reply
    • Stacey LittleStacey

      February 27, 2023 at 10:56 am

      Glad you enjoyed it! The thing about servings is, of course, it depends on the serving size. In this case, I calculated large servings since it will most likely be served as a main course.

      Reply
  9. Kathryn Rowe

    August 13, 2022 at 10:53 am

    5 stars
    Great electric skillet recipe, I even boiled my noodles then Browned my sausage in skillet. I used the sausage fat along with butter to make my rouge. Keeper for Tiny House 🏡

    Reply
    • Stacey LittleStacey

      August 15, 2022 at 11:21 am

      Oh this trick sounds wonderfully flavorful!

      Reply
  10. Keith & Angella Lawrence

    January 1, 2022 at 12:19 pm

    5 stars
    Happy New Years!!!
    The Lawrence Worlds Famous Mac & Cheese Casserole was a huge success. There was more than enough for the eight people that attended the event. What could not be eaten at the table was taken home as leftovers.

    As stated, I followed your direction according to the recipe and add a few extra steps. They Loved it… SO, Im back today to make a new version of the same.

    Just wanted to say thank you for the recipe and your readers for their twists of perfection that they added to make our Christmas and now New Years Dinner Great!

    Happy 2022 to all. We Made it!

    Reply
    • Stacey LittleStacey

      January 4, 2022 at 1:44 pm

      Ha! So glad to hear everyone enjoyed it!! Thanks for letting me know! Happy New Year!

      Reply
  11. Keith & Angella

    December 24, 2021 at 12:27 pm

    5 stars
    Every Christmas I am the desiginated Macarroni & Cheese guy. This year Im spicing it up a little. Thank you for the Great base recipe.

    I alterted the recipe slightly by using your direction but added grounded honey maple sausage and for cheese I used Valvetta Cheese, Pecorino Ramano and Parmigiano Reggiano, then backed it for 20m thereafter.

    It taste great to me and my wife. I’ll let you know what the party goers think of it.

    Thanks again.

    Reply
    • Stacey LittleStacey

      December 24, 2021 at 1:20 pm

      Sounds great! Looking forward to hearing back!

      Reply
  12. Michelle

    November 4, 2021 at 9:30 pm

    Not quite sure why you have to grade your cheese on a box grader I prefer my KitchenAid is much easier. 🤷‍♀️

    Reply
    • Stacey LittleStacey

      November 8, 2021 at 2:43 pm

      Well, not everyone has a KitchenAid. But yes, it would certainly be easier. 🙂

      Reply
  13. Clarissa

    August 23, 2021 at 5:51 pm

    4 stars
    This was very good. I browned the sausage with garlic powder, slap ya mamas, and Italian seasoning. I also added about 1/8cp of parmesan, a 1/8cp of gruyere, garlic powder and mustard powder. Then I baked it with breadcrumbs and a little more cheddar.

    Reply
    • Stacey LittleStacey

      August 25, 2021 at 8:24 am

      That sounds amazing! Thanks for sharing your tweaks!

      Reply
  14. Ellen Allen

    March 27, 2020 at 11:58 am

    I think the details (like grating your own cheese) make a big difference.
    Do you use ‘spiral’ type elbows?? And do your elbows have ridges on the outside ?

    Reply
    • Stacey LittleStacey

      March 27, 2020 at 12:37 pm

      I do and the ones I use do have ridges, but regular elbow macaroni will work just fine.

      Reply
  15. Barbara

    May 23, 2019 at 6:04 pm

    Don’t worry about what the boy eats (or doesn’t) My oldest (now_59) ate one meal a day for her first 2 years and I never knew from day to day which meal it would be. Doc. said she’d eat when she was hungry and he was right. as she got older I told her she had to TRY anything new, if she didn’t like it she didn’t have to eat it but she did have to TRY it at least. She will try anything once even now and usually ends up liking whatever. Kids tummys are smart, he won’t starve so enjoy him and just always have him TRY the new.

    Reply
  16. Sue

    May 23, 2019 at 4:47 pm

    You make your mac n cheese like I do! I think it’s worth making your own sauce, and like you said, really not that difficult. If I had time, I would actually put extra cheese on top then bake it to create a golden crust. Never thought to put sausage in it – will try that. Thank you!

    Reply
    • Stacey LittleStacey

      May 23, 2019 at 5:39 pm

      I sure hope you’ll enjoy it!

      Reply
  17. Aileen

    May 23, 2019 at 3:05 pm

    This looks so yummy, Stacey! I’ll have to try it.

    Reply

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Stacey Little of Southern Bite

Hey, y’all! I’m Stacey…

Feeding people makes me happy. There’s just something special about having the people I love gathered around the table, sharing good food and even better company. So go ahead and pull up a chair. You’re always welcome here.

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