
Pizza Mac and Cheese takes your favorite childhood comfort food and transforms it into a bubbly, crave-worthy casserole packed with flavor. Imagine tangy pizza sauce, gooey Italian cheese, and savory pepperoni all nestled among creamy noodles—this dish promises smiles at any table.
I first threw this together on a night when cravings collided and no one could settle between pizza or mac and cheese. Now it is one of our go-to casseroles when we want something playful and satisfying.
Ingredients
- Reduced sodium deluxe macaroni and cheese mix: two packages for a super creamy base
- Sour cream: adds a rich tang and extra creaminess
- Petite diced tomatoes: for juicy bursts of sweetness and texture
- Pizza sauce: brings in the signature zesty flavor choose a thicker sauce for the best coverage
- Green bell pepper: gives freshness and a gentle peppery crunch choose firm glossy peppers
- Sweet red pepper: adds color and natural sweetness
- Shredded Italian cheese blend: for melting richness I always look for a good mix of mozzarella and provolone
- Sliced pepperoni: infuses each bite with classic pizza flavor look for a slightly spicy variety if possible
Step-by-Step Instructions
- Boil the Pasta:
- Cook the deluxe macaroni noodles just to al dente following your box directions so they hold up well in the bake
- Mix the Cheese Base:
- Drain the pasta and return it to the hot pan while still steamy Stir in the cheese sauce packets from your mix and sour cream making sure every noodle gets a creamy coating
- Layer the Casserole:
- Spoon the macaroni mixture into your greased casserole dish spreading it evenly for a uniform bake
- Add Pizza Toppings:
- In a separate bowl gently mix drained tomatoes with pizza sauce dot spoonfuls over the noodles so each bite gets some sauce Top evenly with chopped green and red peppers followed by the full layer of Italian cheese blend
- Finish with Pepperoni:
- Arrange pepperoni slices on top letting some overlap for full coverage You want every forkful to have that unmistakable pepperoni flavor
- Bake Until Bubbly:
- Bake uncovered in a preheated oven at 350 degrees until the cheese is melted and bubbling and edges look golden expect about twenty five to thirty minutes

You Must Know
- Brings together the best parts of pizza and mac and cheese in one dish
- Great for feeding a crowd or making in advance
- Easy to customize with different toppings or extra veggies
I am always happiest when I see the top turn perfectly golden and the pepperoni curls at the edges. My daughter calls this the ultimate Friday night treat and there is never a crumb left.
Storage Tips
Let the casserole cool completely before covering with foil or an airtight lid and refrigerate. It keeps well for up to four days. Reheat single portions in the microwave or the full pan covered in the oven to maintain the creamy texture. You can also freeze in individual portions for a quick lunch down the road.
Ingredient Substitutions
If you are out of sour cream try Greek yogurt for a similar tang and creaminess. Turkey pepperoni or even vegetarian slices make this dish lighter or meat-free. Feel free to swap out the Italian cheese blend for straight mozzarella or any cheese that melts well.

Serving Suggestions
Dish out hearty squares alongside a crisp Caesar salad or roasted broccoli for balance. Sometimes I add a sprinkle of chopped fresh basil just after baking for an extra punch of flavor and color. This is also fantastic with a handful of sliced black olives for a more classic pizza vibe.
Cultural Context
Combining mac and cheese with beloved pizza toppings is pure Americana—born from comfort food mashups beloved at potlucks and family tables everywhere. This is a playful way to get picky eaters excited and grownups nostalgic all in one dish.
Frequently Asked Questions
- → Can I use a different cheese blend?
Yes, feel free to substitute with mozzarella, provolone, or cheddar depending on your preference for a milder or sharper flavor.
- → What type of pepperoni works best?
Sliced standard or turkey pepperoni both melt well and develop crispy edges in the oven, adding classic pizza flavor.
- → How can I add extra vegetables?
Stir in mushrooms, onions, or olives before baking for additional texture and savory notes.
- → Is it possible to make this dish ahead of time?
Yes, assemble everything up to the baking step, cover and refrigerate for up to a day, then bake as directed.
- → How should leftovers be stored?
Keep leftovers in an airtight container in the refrigerator for up to three days. Reheat in the microwave or oven until warmed through.