Pineapple Ham Casserole Recipe
Pineapple Ham Casserole Recipe photo by Taste of Home
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Pineapple Ham Casserole Recipe

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Living in Hawaii, I wanted to share this recipe which features pineapple. It's our most important fruit crop. —Marsha Fleming, Kula, Hawaii
TOTAL TIME: Prep: 15 min. Bake: 30 min.
MAKES:4 servings
TOTAL TIME: Prep: 15 min. Bake: 30 min.
MAKES: 4 servings


  • 2 cups uncooked wide egg noodles
  • 1/2 cup chopped celery
  • 2 tablespoons butter, divided
  • 1 package (8 ounces) cream cheese, cubed
  • 3/4 cup milk
  • 2 cups cubed fully cooked ham
  • 2 cans (8 ounces each) crushed pineapple, drained
  • 2 teaspoons Worcestershire sauce
  • 1/2 teaspoon salt
  • Dash pepper
  • 1/4 cup dry bread crumbs

Nutritional Facts

1 each: 527 calories, 34g fat (19g saturated fat), 139mg cholesterol, 1541mg sodium, 34g carbohydrate (11g sugars, 1g fiber), 22g protein.


  1. Cook noodles according to package directions; drain. In a large skillet, saute celery in 1 tablespoon butter until tender. Stir in cream cheese and milk; cook and stir until cheese is melted. Add the noodles, ham, pineapple, Worcestershire sauce, salt and pepper.
  2. Transfer to an ungreased 1-1/2-qt. baking dish. Melt remaining butter; toss with bread crumbs. Sprinkle over the top. Bake, uncovered, at 350° for 30-35 minutes or until heated through. Yield: 4 servings.
Originally published as Pineapple Ham Casserole in Country Extra March 2003, p51

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Cocokisses User ID: 8828358 246779
Reviewed Apr. 8, 2016

"I also altered this recipe. Instead of noodles, I used diced potatoes. I added 1 teaspoon of dry mustard, 1 small chopped onion, cut the milk in about half, and added more pepper. I topped it with the Ritz cracker topping given earlier and it was delicious! (I also used the tidbits instead of crushed) I added 15 minutes to the cooking time for the potatoes and put the topping on 30 minutes prior to it being done. Trust me and try it this way!"

judex67 User ID: 3054466 243297
Reviewed Feb. 5, 2016

"Bland and Worcestershire gave it an odd flavor. Had to toss it, no one would eat past two bites. Notice the five star reviewer completely changed the recipe."

ms11145 User ID: 1604521 221312
Reviewed Feb. 24, 2015

"This was not the hit I thought it would be. I kept tasting it as I was making it and I knew it was bland, so I kept trying to *spice* it up so family would like it better. I won't be making this again."

ejshellabarger User ID: 3870843 220987
Reviewed Feb. 20, 2015

"My husband enjoyed this dish very much!"

bbbtyu User ID: 707024 124623
Reviewed Mar. 6, 2014

"I have always loved pineapple-Ritz cracker casserole so I couldn't resist using the same topping from that wonderful dish here in this recipe instead of breadcrumbs. Also, I skipped the milk and noodles, opting for a thicker, creamier casserole. Other changes, I used 20 oz can pineapple tidbits, added chopped onion to the butter and celery, skipped the worchestershire sauce. It is absolutely wonderful and something I will definitely make again. Here is the topping: Melt 6 TBSP butter, add 1 cup crushed Ritz crackers, 1 TBSP sugar, 6TBSP of the pineapple juice from can (I just poured in all the juice left over and it worked)."

kfredericksen User ID: 3142376 205422
Reviewed Mar. 29, 2013

"I added about 1 tsp dry mustard, more Worcestershire sauce and about half a cup of the pineapple juice from the can. Definitely needed that little flavor boost. Good recipe, my 6 year-old loved it. May try some teriyaki next time."

dklinkow User ID: 1300619 85224
Reviewed Dec. 15, 2012

"A bit bland for my liking."

Jaroburk User ID: 6140371 90964
Reviewed Sep. 14, 2012

"This is a nice twist on your typical pasta and meat casserole; still a pleasant comfort food yet something a bit different from the usual. We really enjoyed it and I will be making it again. I used spaghetti noodles since that's what I had on hand and I used a 20 oz. can of pineapples for a double batch. The pineapple flavor was very mild like this which was good, but I think it could be even better with more pineapple."

momio User ID: 2526647 67088
Reviewed Dec. 15, 2011

"We loved this simple recipe! I actually followed it except for putting 20 ounces of pineapple in it instead of 16. It was yummy!"

jmkasprak User ID: 2880256 133976
Reviewed Nov. 12, 2011

"This recipe was creamy with a touch of sweetness to go with the saltiness of the ham. That said, we agreed that I shouldn't make it again. It just wasn't our thing, but I can see why others really like it."

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