Pizza Macaroni & Cheese Recipe
Pizza Macaroni & Cheese Recipe photo by Taste of Home
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Pizza Macaroni & Cheese Recipe

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My grandma made this for us once when she came to visit and I never forgot just how good it was. Since my kids love anything with pepperoni and cheese, I thought they'd enjoy it just as much as I did. —Juli Meyers, Hinesville, Georgia
TOTAL TIME: Prep: 30 min. Bake: 25 min.
MAKES:12 servings
TOTAL TIME: Prep: 30 min. Bake: 25 min.
MAKES: 12 servings


  • 2 packages (14 ounces each) deluxe macaroni and cheese dinner mix
  • 1/2 cup sour cream
  • 1 can (14-1/2 ounces) petite diced tomatoes, drained
  • 1 can (15 ounces) pizza sauce
  • 1 small green pepper, chopped
  • 1 small sweet red pepper, chopped
  • 2 cups (8 ounces) shredded Italian cheese blend
  • 2 ounces sliced pepperoni

Nutritional Facts

1 cup: 340 calories, 14g fat (7g saturated fat), 37mg cholesterol, 927mg sodium, 37g carbohydrate (5g sugars, 3g fiber), 14g protein.


  1. Preheat oven to 350°. Cook macaroni according to package directions for al dente. Drain; return to pan. Stir in contents of cheese packets and sour cream. Transfer to a greased 13x9-in. baking dish.
  2. In a small bowl, combine tomatoes and pizza sauce; drop by spoonfuls over macaroni. Top with peppers, cheese and pepperoni. Bake, uncovered, 25-30 minutes or until bubbly. Yield: 12 servings.
Originally published as Pizza Macaroni & Cheese in Taste of Home September/October 2013, p2-8

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C-horse User ID: 6506579 254052
Reviewed Sep. 13, 2016

"This was delicious and so easy. I "oopsed" and didn't pay attention to the mac & cheese box size so ended up using 2 regular size boxes. Just cut the sauce and tomatoe ammounts in half and cooked in an 11 x 7 pan. Great the next day too. Thanks!"

Angel182009 User ID: 6228642 252416
Reviewed Aug. 9, 2016

"Loved how quick and easy this was to make. It was a big hit with the family too. I may try spicing things up next time with jalape?os."

Ceege User ID: 730520 223883
Reviewed Mar. 31, 2015

"My kids loved this. Made as directed except for green pepper. No one likes them. I also make mac n cheese casserole with my home made chilli. Kids like that now I have two same (but different taste) casseroles to put into rotation."

kmejbs User ID: 7976359 188356
Reviewed Nov. 10, 2014

"Simple to prepare and leftovers taste great. I like this recipe because it is easy to customize to my family's taste. I chopped the pepperoni into quarters and microwaved it on some paper towel for 30 seconds to remove some of the fat before adding it to the top of the casserole. I will definitely be making this again."

chaosmommy User ID: 2687796 139456
Reviewed Aug. 31, 2014

"My family liked this because we could customize it to our own pizza topping preferences. It's a hearty meal and the leftovers the next day tasted even better!

Combining mac n cheese and pizza, who would'a thunk!"

pastiepie User ID: 1062574 152939
Reviewed Nov. 10, 2013

"Tried this tonight and we both liked it. I am bringing the leftovers to work tomorrow."

ZlatkaT User ID: 7345688 196032
Reviewed Nov. 10, 2013

"Simple and easy recipe. It's like a combination of Mac&cheesse and Pizza. Which kids love. Will make it again."

newcountrywife User ID: 6001500 199973
Reviewed Oct. 27, 2013

"Simple, easy and very kid-friendly. It is not gourmet, but it is very good. I tried several different casseroles over the span of a couple of weeks and this was by far the favorite of my husband and children. I will keep this recipe tucked away for when I need something quick and easy yet filling."

bjsilve0 User ID: 172187 198138
Reviewed Oct. 21, 2013

"I made it as stated. Looked good on paper but was terrible in reality."

mjlouk User ID: 1712085 127457
Reviewed Sep. 15, 2013

"This was really easy to put together and it was really tasty. I left the peppers out because DH and the kids don't care for them. Yummy!"

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