Pepperoni Macaroni Recipe
Pepperoni Macaroni Recipe photo by Taste of Home
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Pepperoni Macaroni Recipe

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An everyday pasta bake gets jazzed up with pepperoni, sausage and olives. Because it can be assembled ahead of time and baked right before serving, it’s my handy go-to when I need something on the fly. —Marlene Mohr, Cincinnati, Ohio
Featured In: 13x9 Casserole Recipes
TOTAL TIME: Prep: 15 min. Bake: 40 min.
MAKES:8 servings
TOTAL TIME: Prep: 15 min. Bake: 40 min.
MAKES: 8 servings


  • 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 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 (4 ounces) shredded part-skim mozzarella cheese

Nutritional Facts

1 cup: 334 calories, 19g fat (7g saturated fat), 45mg cholesterol, 1041mg sodium, 26g carbohydrate (6g sugars, 3g fiber), 16g protein.


  1. Cook macaroni according to package directions. Meanwhile, in a large skillet, cook sausage and onion over medium heat until meat is no longer pink; drain. Drain macaroni.
  2. In a large bowl, combine the pizza sauce, tomato sauce and milk. Stir in sausage mixture, macaroni, pepperoni, mushrooms and olives.
  3. Transfer to a greased 13x9-in. baking dish. Cover and bake at 350° for 30 minutes. Uncover; sprinkle with cheese. Bake 10-15 minutes longer or until heated through and cheese is melted. Yield: 8 servings.
Originally published as Pepperoni Macaroni in Quick Cooking January/February 2001, p19

Full-Bodied White Wine

Enjoy this recipe with a full-bodied white wine such as Chardonnay or Viognier.

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wrenjen523 User ID: 7407554 84227
Reviewed Jan. 12, 2014

"Delicious. I used spicy sausage which was good, and little mini pepperonis so I didn't have to dice them up. I also added spinach, and looked hard for high fructose free pizza sauce (dietary thing), and it was delicious. I also forgot the milk so it wasn't as bound as it might have been with the milk. Next time Milk."

mjbayer32 User ID: 6551785 29453
Reviewed Feb. 28, 2012

"This has always been a favorite of mine. I usually add spicy pepperoni to give it a little more flavor. Think spicy sausage would be good too"

musthavemuzk User ID: 5295610 33817
Reviewed Nov. 20, 2011

"used what was on hand and that was not per recipe. had no mushrooms or tomato sauce. skipped the mushrooms but used extra milk and tomato paste. had pork sausage, but no italian so added oregano and garlic powder. went 4 cups of macaroni and 3 cups of mozz. so i added 10 minutes to cook covered time and went the 15 on the uncovered time. from the few bites i have had we are enjoying it and will make again."

Hilomom User ID: 949869 108254
Reviewed Apr. 6, 2011

"This is a yummy recipe! Great flavor combination!"

jsouba User ID: 1788691 70118
Reviewed Jun. 30, 2010

"easy and delicious!"

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