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Pepperoni Macaroni


  • 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 whole 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 shredded part-skim mozzarella cheese


  • 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.

Nutrition Facts

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


Average Rating: 4.818181
  • lovecooker
    Jun 12, 2018
    Just going to say my son and husband really liked this dish. I just added some Canadian bacon. I think there is a flavor missing not sure what. I will make again. I thought i would have left overs until my son returned home from basketball practice!????
  • wrenjen523
    Dec 31, 1969

    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
    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
    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
    Apr 6, 2011

    This is a yummy recipe! Great flavor combination!

  • jsouba
    Jun 30, 2010

    Easy and delicious!

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