How many servings does this recipe make?

This recipe makes 4 servings. You can adjust the portion size directly on this page.

What ingredients do I need for Macaroni & Hot Italian Sausage?

You need 11 ingredients. The key ingredients include: 2 lbs hot Italian sausages, remove casings, 1 medium onion, chopped, 8 ounces medium mushrooms, cleaned and quartered, 2 cups uncooked elbow macaroni, and more.

Is Macaroni & Hot Italian Sausage suitable as pasta & noodles?

Yes, Macaroni & Hot Italian Sausage falls under the Pasta & Noodles category and is a great choice for this type of meal.

How do I store leftover Macaroni & Hot Italian Sausage?

Store in an airtight container at room temperature for up to 3–5 days. For longer storage, freeze for up to 3 months — no need to refrigerate or reheat.

Macaroni & Hot Italian Sausage Recipe

Name: Macaroni & Hot Italian Sausage
Prep time: 15 min
Cook time: 30 min
Total time: 45 min
Yield: 4 servings
Ingredients: 2 lbs hot Italian sausages, remove casings; 1 medium onion, chopped; 8 ounces medium mushrooms, cleaned and quartered; 2 cups uncooked elbow macaroni; 1/4 cup sherry wine; 1/2 cup tomato sauce; 1 (10 ounce) can beef consomme; 1 (10 ounce) can water; 1 cup sour cream or 1 cup 2% fat cottage cheese, whipped until smooth; chopped fresh parsley; 1/4 cup parmesan cheese or 1/4 cup asiago cheese

Try this homemade Macaroni & Hot Italian Sausage recipe the whole family will love. Made with Italian sausages, onion, mushrooms and elbow macaroni. Eas…

This Macaroni & Hot Italian Sausage relies on simple, everyday ingredients such as medium onion, chopped, uncooked elbow macaroni, sherry wine and tomato sauce. It comes together quickly and makes 4 servings, at about 231 kcal each. The step-by-step instructions below are written to be easy to follow, even on a busy day.

It's versatile enough for an easy weeknight dinner yet satisfying enough for guests at the weekend. Serve it with your favorite sides, and keep any leftovers for a quick meal the next day.

Updated Jun 30, 2026

Serves 4 Pasta & Noodles

Tips for the best results

Read through all the steps once before you start and measure out your ingredients first — it makes everything go more smoothly.
Taste as you go and adjust the seasoning before serving.
Avoid overcrowding the pan — cook in batches if needed for the best texture.
Let the dish rest for a few minutes before serving so the flavors settle.
Store leftovers in an airtight container in the fridge and enjoy within a few days.

Variations & substitutions

Coconut cream is a reliable plant-based alternative to dairy cream.

No specific allergen information. Please check the ingredient list for possible allergens.

My Personal Notes

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Macaroni & Hot Italian Sausage

Tips for the best results

Variations & substitutions

My Personal Notes

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