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Pizza Macaroni & Cheese

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


  • 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 shredded Italian cheese blend
  • 2 ounces sliced pepperoni


  • 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.
  • In a small bowl, combine tomatoes and pizza sauce; drop by spoonfuls over macaroni. Top with peppers, cheese and pepperoni. Bake, uncovered, until bubbly, 25-30 minutes.
Nutrition Facts
1 cup: 340 calories, 14g fat (7g saturated fat), 37mg cholesterol, 927mg sodium, 37g carbohydrate (5g sugars, 3g fiber), 14g protein.

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Average Rating:
  • Brian
    Sep 21, 2019

    So Awesome!!!

  • Beth in Ohio
    Jun 6, 2019

    Made this for dinner and it was surprisingly good! Added sliced black and green olives to the toppings. Will definitely make again. To be clear, the deluxe Mac

  • Lynda1111
    Mar 28, 2018

    Delicious & creamy. I mixed bell peppers into macaroni as well as mini pepperoni, the dry cheese & sour cream. I topped it with tomatoes & pizza sauce plus more pepperoni & Italian cheese. This was so good. I can hardly wait to make it again. This is the best of all pizza casserole recipes.

  • wlkrbgg
    Apr 13, 2017

    Loved it! Threw in some onions and black olives. Can't wait to make again and serve to adult kids!

  • C-horse
    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
    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
    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
    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
    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
    Nov 10, 2013

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