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Macaroni and Creamy Sausage Gravy ~ Flash Back Friday

I first posted this recipe in 2013 and I thought I would share it again for a cold winter night quick dinner idea.  I loved reading the ideas from our readers and think that maybe there might be other memories of the way mom's used to bring comfort food to the table. 

I would have never thought to put this recipe on the blog except that my beloved said it should go on since it is one of his favorites and maybe not everybody knows how to make creamy gravy from fried sausage.  
My mom often made this quick meal and I don't think I ever truly appreciated how delicious it was when I was small. has joined the ranks as a true comfort food in our home.
Somehow, dill pickles are a must on the table and I often make coleslaw that has grated carrots and shredded red cabbage to add color to the plate.

  • 2 pounds sausage (I use smoked farmer sausage but go ahead and use your favorite)
  • 2 cups uncooked macaroni
  • sausage drippings  and butter to make 1/4 cup
  • 1/4 cup flour
  • 2 1/2 - 3 cups milk
  • salt and pepper to taste
  1. Slice sausage into 1/4 inch coins and fry in a large flat bottomed fry pan stirring occasionally to brown both sides.  Do not use a non stick pan or the sausage will not brown as it should and you want browned bits to stick to the pan.  Remove sausage and keep warm in oven while you make the sauce.
  2. Cook macaroni according to instructions on the box.  Drain.  
  3. Add flour to the drippings in the fry pan, scraping bottom to remove browned bits and stir to combine over medium heat.  Cook and stir until the mixture becomes thick and stir for 1 minute to cook the flour well.
  4. Add the milk a little bit at a time at first, stirring to create a sauce.  Add 2 cups milk and then additional milk to make medium sauce. Taste and season with salt and pepper.
  5. Add macaroni to the pan and stir to warm up macaroni.


  1. Well now doesn't that look good! I adore biscuit and gravy...the husband not so much. But this! would fly.

  2. We always had farmer sausage with cream gravy and spaghetti. My mom always used flour, water, and half and half or whipping cream. Lots of pepper and a little salt. She alway got her sausage from Rempel's. Miss those days.

  3. Now that sounds like real comfort food! Thanks for sharing this Lovella.

  4. I'm definitely going to try this, it's almost like farmer sausage and perogies but without the perogies. My hubby's not a fan of perogies but this I could make :)

  5. My mom would sauté sliced onions in the fat from the sausage until they were caramelized, and then add a tin of canned milk. I'm thinking that this was the way her mom used to make it during the depression. Once the milk boiled in the pan it was poured over the macaroni. I will try the recipe using fresh milk but it may be that the canned milk recipe is too ingrained in my "Best Meals" memory.

  6. Such a great comfort food. I would like to make this, Thanks for sharing this.

  7. Speaking of cold winter nights don't forget "Auntie Betty's casserole" husband loves it

    1. Angharad, thank you for that reminder! I haven't made that yet winter yet but we love it too.

  8. Yummy, just made this recipe on a cold winter's day in an iron skillet. Comfort tis true!

  9. Just made this for our dinner yummmm good used hamburger patties instead thanks

  10. Really very nice. Thanks for sharing and keep on sharing. ​plagiarism check


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