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I got this recipe from a friend about thirty years ago. It has become a family favorite. It makes a lot, so it's great to serve to a crowd. Also, it can be made ahead and re-heated very easy. The original recipe calls for regular pork Italian sausage, but to cut down on fat, I use the turkey kind.

Recipe Summary

prep:
30 mins
cook:
6 hrs
total:
6 hrs 30 mins
Servings:
16
Yield:
16 servings
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Ingredients

16
Original recipe yields 16 servings
The ingredient list now reflects the servings specified
Ingredient Checklist

Directions

Instructions Checklist
  • Pour the tomato soup, tomato sauce and tomato paste into a slow cooker, and stir to blend. Crumble in the sweet and hot Italian sausages. Cover, and cook on low for 4 to 6 hours, stirring occasionally until the meat is cooked through, and the sauce is flavorful.

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  • When the tomato sauce is almost done, bring a large pot of lightly salted water to a boil. Add the mostaccoli pasta, and cook for 8 to 10 minutes, until tender. Drain and rinse.

  • Preheat the oven to 375 degrees F (190 degrees C). Coat a 9x13 inch baking dish and an 8x8 inch baking dish with cooking spray. Layer the noodles and cheese in the two dishes to an even depth ending with cheese on the top, splash a little bit of the milk over each layer of cheese as you go except for the top layer.

  • Bake for 15 minutes, or until cheese is melted and a little brown on the top. Cut into wedges, and spoon the sauce over them to serve.

Note

If you use regular pork sausage, you need to brown a little first to remove some of the fat. Also, the sauce can be cooked on top of the stove. But it burns easy, so you have to keep a close eye on it. It only takes 1 hour on the stove.

Nutrition Facts

447 calories; protein 32.4g; carbohydrates 44.4g; fat 16.6g; cholesterol 79.7mg; sodium 1480.7mg. Full Nutrition
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Reviews (10)

Read More Reviews

Most helpful positive review

Rating: 4 stars
05/11/2005
This recipe was a nice change from just regular spaghetti and tomato sauce. My 8 year old loved it. Read More
(13)

Most helpful critical review

Rating: 2 stars
10/09/2006
The sauce was way too bland for Italian sauce even though I used all hot Italian turkey sausage. After heating on the stove for about 40 minutes I added 1 cup of coarsely chopped onion 1 Tbsp. minced garlic 1 tsp each of dried basil and oregano to ONE HALF of the recipe and it tasted much more like I had hoped though I think the ratio of basil to oregano needs to be tweaked. I would also recommend frying the turkey sausage before starting the sauce because it was rather lumpy even though I took care to add it to the sauce in small raw chunks. Read More
(15)
16 Ratings
  • 5 star values: 7
  • 4 star values: 6
  • 3 star values: 2
  • 2 star values: 1
  • 1 star values: 0
Rating: 2 stars
10/09/2006
The sauce was way too bland for Italian sauce even though I used all hot Italian turkey sausage. After heating on the stove for about 40 minutes I added 1 cup of coarsely chopped onion 1 Tbsp. minced garlic 1 tsp each of dried basil and oregano to ONE HALF of the recipe and it tasted much more like I had hoped though I think the ratio of basil to oregano needs to be tweaked. I would also recommend frying the turkey sausage before starting the sauce because it was rather lumpy even though I took care to add it to the sauce in small raw chunks. Read More
(15)
Rating: 4 stars
05/11/2005
This recipe was a nice change from just regular spaghetti and tomato sauce. My 8 year old loved it. Read More
(13)
Rating: 4 stars
05/01/2006
Excellent! Also works great to make a big batch, and freeze portions for lunches. Read More
(8)
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Rating: 4 stars
10/19/2006
This makes a huge amount even if you half the recipe! It was very good. We liked the texture of the baked pasta. Will definitely make again. Read More
(6)
Rating: 5 stars
02/18/2010
This is the only recipe that my significant other will eat onions in. It's the only red sauce he'll eat all the way down to the bottom of the bowl. Others he simply leaves behind after the pasta is gone. Completely intrigued by the baked pasta base of this recipe I had to try it. It's a keeper in my recipe vault. Read More
(5)
Rating: 4 stars
03/12/2010
This was pretty tasty. I used mozzarella and cheddar. I just don't see how you can go wrong with that much cheese and italian sausage! Read More
(5)
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Rating: 5 stars
08/30/2007
EXCELLENT!!! Even my picky eater kids liked this one! Read More
(5)
Rating: 5 stars
02/27/2012
wonderful wonderful. I added basil and oregeno. I cooked the sausage first with an onion and 2 minced garlic cloves. cooked on low in crockpot for 4 hours then did the rest as normal. It was really really amazing Read More
(2)
Rating: 5 stars
06/19/2016
This is my recipe. The sauce WILL be bland if you don't let it slow cook!! Cooking on the stove doesn't work to marry the flavors. Please don't give me a bad rating because you decided to alter the recipe (pretty much changing it completely) and then saying you didn't like it. I certainly understand that. Please let it slow cook!! Read More
(1)