I developed this recipe from a basic mac-n-cheese recipe, adding pears which go well with the sharp Cheddar. For the sausage, we like Aidell's® Chicken and Apple or Roasted Garlic Gruyere sausages. They are fully cooked and very flavorful! To use as a side dish, leave out the sausage.


Recipe Summary

15 mins
50 mins
1 hr 5 mins
8 servings


Original recipe yields 8 servings
The ingredient list now reflects the servings specified
Ingredient Checklist


Instructions Checklist
  • Preheat oven to 350 degrees F (175 degrees C). Spray a 3-quart casserole dish with cooking spray.

  • Bring a large pot of lightly salted water to a boil. Cook elbow macaroni in the boiling water, stirring occasionally until cooked through but firm to the bite, 8 minutes. Drain macaroni and transfer to the prepared casserole dish.

  • Heat butter in a saucepan over medium heat; cook and stir onions in the melted butter until partially translucent, about 5 minutes. Whisk in flour until paste-like consistency, 3 to 5 minutes. Slowly stream in milk, stirring constantly, until flour mixture is incorporated, about 5 minutes. Stir in Cheddar cheese and Parmesan cheese until completely melted and and sauce has thickened, 5 to 10 minutes.

  • Pour cheese sauce into macaroni; stir to coat. Season with black pepper. Stir in sausage.

  • Reserve 4 slices of pears; dice remaining pear slices and stir into macaroni mixture. Arrange the reserved slices atop macaroni mixture.

  • Stir 2 tablespoons melted butter and bread crumbs together in a small bowl; sprinkle over macaroni mixture.

  • Bake in the preheated oven until cheese is bubbling and topping is lightly browned, about 30 minutes.

Nutrition Facts

443 calories; protein 19g 38% DV; carbohydrates 36.9g 12% DV; fat 24.4g 38% DV; cholesterol 70.9mg 24% DV; sodium 441mg 18% DV. Full Nutrition

Reviews (12)

Read More Reviews
13 Ratings
  • 5 star values: 5
  • 4 star values: 7
  • 3 star values: 0
  • 2 star values: 0
  • 1 star values: 1
Rating: 5 stars
This is THE BEST mac and cheese EVER! The sausage with the pear makes it mouth watering, and it comes out of the oven bubbling and scenting the whole house with homemade goodness. I highly recommend! I made a huge casserole and it disappeared almost immediately. Read More
Rating: 5 stars
This recipe turned out amazing. Everyone loved it! Read More
Rating: 5 stars
I served this Mac and Cheese with a salad and my family said it was a great meal. I followed the recipe to a T until I only found Colby Jack cheese in my fridge. I used it and it was still delicious with the pear. Next time I will try with cheddar. To another reviewer if your sauce is gritty either your Parmesan was of low quality or you overheated your sauce and it separated. Don't hard boil the milk based sauce. Will make again thanks. Read More
Rating: 4 stars
Really good recipe. It reminds me of all the best stuff on the cheese/fruit/sausage tray. It's also really adaptable - I used shallots instead of onions. I could see mushrooms or roasted fennel also being a great addition Read More
Rating: 4 stars
This turned out pretty well. I forgot to get pears at the store so I made it without. I did add a small can of diced peppers to give it a little extra spice. The texture of the sauce did turn out a bit grainy I'm wondering if maybe the parmesan did that since I've made similar sauces and never had that trouble. I think we will try this recipe again maybe with a spicier meat and no parmesan. I also didn't add any butter to the bread crumbs just sprinkled them on top before baking it. Read More
Rating: 4 stars
The pear gave this recipe great flavour i wld. make it again and perhaps try different fruits i used pear as i had mark down pears - but it was good. Read More
Rating: 4 stars
My husband asked: “Is this called unusual Mac and Cheese”? Unusual and delicious! Great combination of flavors and since my pear was a bit crunchy there was that added plus. Not overly rich or overly cheesy. Just the right mix. Have already shared with my neighbor who also loves recipes, almost as much as I do! Read More
Rating: 4 stars
I used Gruyere Fontina a little Italian blend cheese and 1/2 cup cheddar. I substituted Bacon and used Bosch pears. Added a little red pepper flake kick and it was enjoyed by all. Read More
Rating: 5 stars
Oh Yea! All I can say is this is like no other! At first I was wondering if it would be good but figured why not! I did add 1extra cup of mozzarella cheese and didn't have bread crumbs so I put on a whole roll of Ritz crackers and added a melted stick of butter on top! It was a hit!!! I also used chicken and cheese sausage inside! It's too die for and it feed all six of us! I was worried about only using 8oz of noodles!! I will definitely be using this again and recommending it to EVERYONE! Read More