In this homemade mac and cheese recipe everything is cooked in one skillet: sausage, bell peppers, and even pasta!  This delicious red sauce macaroni and cheese will become your new family favorite!

  • Prep Time 15 mins
  • Cook Time 30 mins
  • Total Time 45 mins
  • Servings6 servings
  • Calories: 436 kcal


  • 1 lb pork sausage
  • 1 red bell pepper diced
  • 1 green bell pepper diced
  • 8 oz elbow macaroni , dry
  • 18 oz marinara sauce
  • 18 oz water
  • 1/3 cup half and half
  • 1/3 cup mozzarella cheese


  1. In a large skillet cook sausage on medium heat, until meat is brown. Drain off fat.
  2. Add diced bell peppers, dried elbow macaroni, marinara sauce, and water. Bring to boil; reduce heat to simmer. Simmer, covered, for about 20 minutes until macaroni is tender, occasionally stirring.
  3. Add half and half, sprinkle with cheese, and mix everything well. Remove from heat, cover and let it sit for about 2 minutes or until cheese melts.

Recipe Notes

WHAT IS HALF AND HALF? To make 1 cup of half and half, combine 1/2 cup of milk and 1/2 cup of heavy cream (or heavy whipping cream).


One comment

  1. This is a great recipe. I couldn’t get sausage meat so I improvised with mild Italian sausage. I also did not use marinara as we are not fans. Instead I used a flavoured bottled spaghetti sauce. I also put more mozzarella in and some leftover Parmesan I had in the fridge. The result was totally delicious. Thanks for the recipe. Great dish for an easy winter dinner, and having leftovers, priceless.

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