January 13, 2021



Large casserole macaroni with ham and peas in a cheesy Alfredo sauce makes a quick and complete weeknight dinner. This is a great way to turn unused deli ham into a meal.

Ham and Peas Macaroni Alfredo
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Update: This post was updated on January 10, 2021 with new images, but the blog content remains the same. The recipe has also been updated since its original publication on October 2013.

Avery, a two-year old in my day care, is the cutest little thing I have ever seen. When her hair is in a ponytail, she looks just like “Boo”, the little girl from Monsters Inc. Up until recently, Avery had been the youngest child in the group, but she inspired all of the older children to use their manners. They applied it more frequently after seeing how she got praised for using hers. Avery often says “thank you” when I change her diaper, when I hand her an item, when I serve her food. In fact, when I fed her soup for lunch last week, she thanked me in her little squeaky voice before taking each bite…all twenty five spoonfuls! How cute is that?

Ham and Peas Macaroni Alfredo

One other person who will be thanking me is my daughter whose craving for Alfredo sauce  inspired this post. In this recipe, freshly grated garlic clove provides a slight hint of garlic, and casserole macaroni (large macaroni) is a fun change from the fettuccine that is typically used with this sauce. With added ham and peas, this pasta dish is a complete, easy weeknight dinner.

This dish is ideal way to use up leftover deli ham at the end of the week. Only a half pound is required, but it goes a long way. The combination of ham and peas is fantastic with pasta and Aflredo! 


Ham and Peas Macaroni Alfredo


1 pound box casserole macaroni
1 stick butter, cut into large chunks
2 cloves garlic
1/2 pound deli or leftover ham, sliced 1/4-inch wide strips
1 cup frozen peas, defrosted and at room temperature
1 3/4 cups freshly grated Parmesan cheese
1 pint light cream
1 cup whole milk
1/4 teaspoon salt
1/4 scant teaspoon black pepper


  1. Slice ham into 1/8” x 1/4” x 1 1/2” strips. Set aside.  
  2. Cook pasta until al dente according to package directions.  
  3. While pasta is cooking, add butter to a large saucepan on medium heat. Using a grater or microplane, grate garlic into butter. Cook and stir for about 2 minutes. Do not let the butter or garlic brown. 
  4. Add light cream and salt, stirring frequently. Let come to come to a simmer. Add cheese, stirring until mixture thickens, about a minute. Gently fold in peas and ham.  
  5. Drain pasta. Add to sauce, stirring to incorporate. Adjust seasoning to taste. Serve immediately.
  6. Makes 6 servings.

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  1. I've got ham in my freezer from Thanksgiving and this is a terrific way to use part of it.

    1. It sure is Karen! This pasta dish will give new life to that Thanksgiving ham.

  2. My daughter's a pasta and alfredo fan too! Love the large macaroni! Avery sounds so cute and how nice that the older kids are imitating her!

    1. It sounds like this would be a hit with your daughter! I love using the large elbow mac. They don’t get mushy like the regular size ones. Avery was adorable my model child for politeness :)