Macaroni and Sausage Casserole January 24, 2023 765 × 1000 Macaroni and Sausage Casserole Macaroni and Sausage Casserole This Macaroni and Sausage Casserole is flavorful and easy to make. Add a green salad and some rolls, bread, or biscuits for a hearty and satisfying weeknight dinner.