Serve hot as a main dish or side.

Store leftovers in an airtight container in the refrigerator for up to 3 days.

Reheat gently on the stove or in the microwave, adding a splash of milk if needed to restore creaminess.

Variations

Substitute breakfast sausage with spicy chorizo for a bolder flavor.

Swap pimento cheese for sharp cheddar or pepper jack to change the flavor profile.

Add steamed broccoli or sautéed bell peppers for extra veggies.

FAQ

Can I make this ahead of time?
Yes, you can prepare the pasta and sausage-cheese mixture separately, then combine and heat before serving.

Is this dish freezer-friendly?
It can be frozen, but cheese sauces may separate slightly. Reheat slowly over low heat and stir well.