Sausage and Peppers Macaroni Casserole Recipe

Sausage and Peppers Macaroni Casserole Recipe

How To Make Sausage and Peppers Macaroni Casserole

Enjoy rich and savory flavors in one plate with this macaroni casserole! It’s loaded with chicken sausages and bell peppers, all baked in hearty marinara.

Preparation: 15 minutes
Cooking: 1 hour 30 minutes
Total: 1 hour 45 minutes



  • 14ozchicken sausage,casings removed
  • 1tbspolive oil
  • 1cuponion,chopped
  • 1medium red pepper,chopped
  • 1medium yellow pepper,chopped
  • 3garlic cloves,chopped
  • 1cupmushrooms,sliced
  • 14½ozpetite diced tomatoes,(1 can), drained
  • 2cupsmarinara sauce
  • 2cupswater
  • ½tspItalian seasoning,or dried thyme
  • 1tspkosher salt
  • 8ozmozzarella cheese,shredded
  • 8ozDeLallo whole wheat elbows,or gluten free elbows, uncooked


  1. Preheat the oven to 350 degrees F.

  2. In a large deep non-stick skillet, brown the sausage over high heat until cooked through, seasoning with a pinch of salt and breaking it up into smaller pieces as it cooks. Set aside on a dish.

  3. Add the olive oil to the skillet, reduce heat to medium and add the onions, garlic, and peppers, then sauté for about 6 to 7 minutes until the vegetables soft.

  4. Return the sausage to the skillet along with the remaining ingredients except for the pasta and cheese.

  5. Bring to a boil and then lower the heat to medium-low. Simmer for 10 minutes until the vegetables are soft.

  6. Spoon just enough of the sausage/vegetable mixture to cover the bottom of a 9×13-inch pan. Cover with uncooked pasta. Spoon the remaining sauce mixture evenly over the top and sprinkle with cheese.

  7. Cover with foil and bake for 50 to 55 minutes. Remove from oven and let stand covered for 15 minutes.

  8. Divide into 8 servings, then serve and enjoy!


  • Calories: 384.10kcal
  • Fat: 18.39g
  • Saturated Fat: 6.79g
  • Trans Fat: 0.08g
  • Monounsaturated Fat: 6.49g
  • Polyunsaturated Fat: 2.90g
  • Carbohydrates: 34.91g
  • Fiber: 4.27g
  • Sugar: 7.90g
  • Protein: 19.80g
  • Cholesterol: 74.18mg
  • Sodium: 918.60mg
  • Calcium: 253.93mg
  • Potassium: 636.12mg
  • Iron: 2.18mg
  • Vitamin A: 113.70µg
  • Vitamin C: 71.50mg
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