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 Pepperoni Macaroni?

You need 10 ingredients. The key ingredients include: 2-1/2 cups uncooked elbow macaroni, 1 pound bulk Italian sausage, 1 large onion, chopped, 1 can (15 ounces) pizza sauce, and more.

Is Pepperoni Macaroni suitable as pasta & noodles?

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

How do I store leftover Pepperoni Macaroni?

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.

Pepperoni Macaroni Recipe

Name: Pepperoni Macaroni
Prep time: 15 min
Cook time: 30 min
Total time: 45 min
Yield: 4 servings
Ingredients: 2-1/2 cups uncooked elbow macaroni; 1 pound bulk Italian sausage; 1 large onion, chopped; 1 can (15 ounces) pizza sauce; 1 can (8 ounces) tomato sauce; 1/3 cup whole milk; 1 package (3-1/2 ounces) sliced pepperoni, halved; 1 jar (4-1/2 ounces) sliced mushrooms, drained; 1 can (2-1/4 ounces) sliced ripe olives, drained; 1 cup shredded part-skim mozzarella cheese

Try this homemade Pepperoni Macaroni recipe the whole family will love. Made with elbow macaroni, Italian sausage, onion and pizza sauce. Easy step-by-s…

This Pepperoni Macaroni relies on simple, everyday ingredients such as uncooked elbow macaroni, bulk italian sausage, large onion, chopped and (15 ounces) pizza sauce. It comes together quickly and makes 4 servings, at about 141 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

Feel free to swap in similar ingredients you already have on hand and adjust seasoning to taste.

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

My Personal Notes

Saved locally in your browser — visible only to you.

Pepperoni Macaroni

Tips for the best results

Variations & substitutions

My Personal Notes

How did you like this recipe?

Frequently Asked Questions