Cheesy Ham Macaroni Recipe
Cheesy Ham Macaroni Recipe photo by Taste of Home
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Cheesy Ham Macaroni Recipe

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I'm often asked to bring this comforting casserole to potluck dinners, and it's a favorite of my family's, too. The rich and creamy easy-to-fix dish is a great way to use leftover baked ham. -Molly Seidel, Edgewood, New Mexico
TOTAL TIME: Prep: 25 min. Bake: 25 min.
MAKES:8 servings
TOTAL TIME: Prep: 25 min. Bake: 25 min.
MAKES: 8 servings


  • 1 package (8 ounces) elbow macaroni
  • 6 tablespoons butter, divided
  • 1/4 cup all-purpose flour
  • 1/2 teaspoon salt
  • Dash pepper
  • 2 cups milk
  • 2 cups (8 ounces) shredded sharp cheddar cheese
  • 2 cups cubed fully cooked ham
  • 1 can (4 ounces) mushroom stems and pieces, drained
  • 1 jar (2 ounces) diced pimientos, drained
  • 1/2 cup crushed butter-flavored crackers (about 11 crackers)
  • Minced fresh parsley, optional

Nutritional Facts

1 cup: 420 calories, 24g fat (14g saturated fat), 80mg cholesterol, 983mg sodium, 33g carbohydrate (4g sugars, 2g fiber), 20g protein.


  1. Cook the macaroni according to package directions. Meanwhile in large saucepan, melt 4 tablespoons butter. Stir in the flour, salt and pepper until smooth; gradually whisk in milk. Bring to a boil; cook and stir for 1 minute or until thickened. Reduce heat. Add the cheese; cook and stir until melted. Stir in the ham, mushrooms and pimientos. Drain macaroni; stir into ham mixture.
  2. Transfer to a greased shallow 2-1/2-qt. baking dish. Sprinkle with cracker crumbs; dot with remaining butter. Bake, uncovered, at 350° for 25-30 minutes or until heated through and bubbly. Sprinkle with parsley if desired. Yield: 8 servings.
Originally published as Cheesy Ham Macaroni in Taste of Home June/July 2003, p29

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erok55 User ID: 8585466 235608
Reviewed Oct. 25, 2015

"I substituted kilbasa for the ham, deleted the mushrooms and pimientos. It's wicked good"

_nlfPA User ID: 1879224 227377
Reviewed Jun. 3, 2015

"If you enjoy mac and cheese, you will enjoy this casserole. It is mac and cheese with a little different approach but still delicious.

The only thing I did differently was to double the recipe and put in a 4 quart casserole dish."

[email protected] User ID: 1289836 48241
Reviewed Aug. 2, 2013

"Super yummy and easy! This fed 5 people, though. To be fair, two of them were teenage boys."

agapeanr User ID: 6304679 54984
Reviewed Apr. 12, 2013

"I used shells instead of elbow macaroni and fresh mushrooms instead of canned. My toddler and my husband and I loved it!"

raynebop User ID: 1722800 128658
Reviewed Jan. 29, 2012

"Our family really liked this recipe!!!"

kamyers User ID: 6176319 48240
Reviewed Sep. 13, 2011

"Made it for the first time, really easy and fast to get in the oven. Family and I liked it alot and will for sure be making it again. The only thing I didn't do was add the mushrooms, not a big fan."

amhershy User ID: 1184869 126972
Reviewed Jan. 7, 2010

"Very Delish!! I used velveeta cheese which made it very creamy and drowned out the flour taste. For the crumb topping I used ritz crackers cause it was all i had on hand...very good will definately make again!"

katsamcamsmom User ID: 4612834 55173
Reviewed Nov. 21, 2009

"I have made this twice. Second time I used more ham, diced and the large sized macaroni. The kids liked the recipe just the way it was before I tried to "improve" it. I haven't used the cracker topping either, and it was great without it."

Deepsouthred User ID: 251490 129819
Reviewed May. 10, 2009

"Nice recipe but in my opinion too much flour which made it taste a bit pastey and ended up adding a can of cream of mushroom soup. The next time I make this "white roux" I'll use less flour and stir in a pinch of dry mustard. The DH hurt my hurt my feelings when he suggested that I just cooked a boxed of mac and cheese and threw in everything else and topped it off with crackers:( but it worth trying again!!!"

shelli1542 User ID: 1525176 55242
Reviewed Apr. 13, 2009

"This was really good. It's the day after Easter and I was looking for a tasty way to use some of the left over ham with what I already had on hand. This was it! The only substitution I made was using one cup of mozzarella and one cup of cheddar jack instead of the sharp cheddar because that's what I already had. Yum."

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