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Guests always seem to gobble up this authentic Greek beef and pasta casserole. The creamy white sauce is delicious. —Amanda Briggs, Greenfield, Wisconsin
  • Total Time
    Prep: 35 min. Bake: 30 min. + standing
  • Makes
    4 servings


  • 1 package (7 ounces) uncooked elbow macaroni
  • 1 pound ground beef or lamb
  • 1 medium onion, chopped
  • 1 garlic clove, minced
  • 1 can (8 ounces) tomato sauce
  • 1 teaspoon salt, divided
  • 1/4 teaspoon dried oregano
  • 1/8 teaspoon pepper
  • 1/4 teaspoon ground cinnamon, optional
  • 1/2 cup grated Parmesan cheese, divided
  • 3 tablespoons butter
  • 3 tablespoons all-purpose flour
  • 1-1/2 cups 2% milk
  • 1 large egg, lightly beaten


  • Cook macaroni according to package directions. Meanwhile, in a large skillet, cook beef and onion over medium heat until meat is no longer pink. Add garlic; cook 1 minute longer. Drain. Stir in the tomato sauce, 1/2 teaspoon salt, oregano, pepper and, if desired, cinnamon; heat through.
  • Drain macaroni; place half of macaroni in a greased 9-in. square baking pan. Sprinkle with 1/4 cup cheese. Layer with meat mixture and remaining macaroni. Set aside.
  • Preheat oven to 350°. In a small saucepan, melt butter; stir in flour and remaining salt until smooth. Gradually add milk. Bring to a boil; cook and stir 2 minutes or until thickened.
  • Remove from the heat. Stir a small amount of the hot mixture into egg; return all to the pan, stirring constantly. Bring to a gentle boil; cook and stir 2 minutes. Remove from heat; stir in remaining cheese. Pour sauce over macaroni.
  • Bake, uncovered, 30-35 minutes or until golden brown. Let stand 10 minutes before serving.
Nutrition Facts
1 each: 614 calories, 26g fat (13g saturated fat), 147mg cholesterol, 1206mg sodium, 57g carbohydrate (10g sugars, 3g fiber), 38g protein.

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Average Rating:
  • maball
    Nov 25, 2018

    We loved this! I had to use a can of diced tomatoes instead of tomato sauce but it was fantastic. Everyone gobbled it up. Definitely a keeper. The sauce on top is what really makes it stand out. And, do use the cinnamon.

  • 2124arizona
    Jul 2, 2017

    This dish reminded me of true comfort food at it's best!! We love it!!

  • rmbarr059
    Aug 10, 2016

    Very good. My husband is Greek and he thought that this was a great pastitsio recipe. If you want authentic Greek pastitsio, you have to put in the cinnamon. It may sound strange but it's delicious.

  • dlyn9smith
    Apr 16, 2016

    I used ground chicken as my meat. I did the rest of the recipe as written and added the cinnamon. I added the macaroni to the meat mixture, then I put have the meat & mac mixture to dish, sprinkled 1/2 cup parmesan cheese over mixture, than added other half. Poured the b?chamel over and baked. It was delicious. My husband said it was a keeper.

  • bberletic
    Apr 12, 2015

    Followed the recipe exactly. Did not add the cinnamon as it was optional.I used ground lamb when I realized it was a Greek dish. My husband said he couldn't taste the onions ( I used a large onion because thats all I had) so it should have been enough, also we couldn't taste the garlic or Oregano. My sauce was too thick but didn't know how thick it should have been. Maybe if the sauce was thinner allowing it to spread down into the dish before baking it would have tasted better, but who knows. It was edible but not memorable.

  • luigimon
    Jul 13, 2014

    Good stuff! This is a yummy comfort food!

  • jamerbuddy
    May 6, 2014

    The whole family loved it! That is worth a 5 star review at our house!

  • pamdevone
    Apr 16, 2014

    I liked this meal, it was very satisfying.

  • Hannelie
    Apr 14, 2014

    My husband loved this dish, so i am giving it 5 stars!

  • ppnovy
    Mar 2, 2013

    Excellent recipe. I love this dish anyway and was looking for an easy recipe. This one fits the bill. Definitely a favorite. The only thing I did differently was used Kasseri, a Greek cheese, in place of the Parmesan because I had some on-hand.