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This Instant Pot mac and cheese with smoked sausage is incredibly creamy, loaded with two kinds of cheese, and packed with smoky sausage that turns it into a complete meal. Everything cooks together in in the Instant Pot for maximum flavor and minimal cleanup.


That One Time I Changed My Mind.
I used to be a mac and cheese purist – like, don’t mess with perfection, you know? Then someone brought me mac and cheese with smoked sausage mixed in after I had my first baby, and I was honestly a little offended. Who adds meat to mac and cheese?
Turns out, the answer is “smart people.” That smoky sausage adds so much flavor and turns this from a side dish into a legitimate dinner.
Plus, making it in the Instant Pot means everything cooks together and gets perfectly creamy without any of the usual stovetop drama. No grainy cheese sauce. No pot boiling over. Just creamy dreamy goodness.
Now this is a go-to weeknight dinner when we want comfort food that actually fills everyone up. Sometimes the best recipes come from being willing to try something different!
Love your Instant Pot as much as I do? Check out my pressure cooker pinto beans and my pressure cooker carnitas, too!
3 Reasons You’ll Love This Instant Pot Mac and Cheese
- Turns mac and cheese into dinner. The smoked sausage makes this hearty enough to be a main dish, not just a side that leaves everyone hungry an hour later.
- Foolproof creamy results. No more worrying about the cheese breaking or the pasta getting mushy – the Instant Pot makes this perfect every time.
- One pot, minimal cleanup. Brown the sausage, add everything else, and you’re done. No multiple pots or complicated cheese sauce steps.
Ingredient Notes:

Smoked Sausage – We’re big fans of smoked sausage, since it’s pre-cooked and easy to brown in minutes. You can also use chicken sausage for a lighter option.
Macaroni – Start with uncooked, dry elbow macaroni or use different shaped pastas such as shells if you have a preference.
Cheese – We’re using a combo of cheddar and monterey jack. Grate it yourself for the best texture and meltability.
Evaporated Milk – This helps make the sauce rich and creamy.
Other – You will also need some olive oil, water, dry mustard powder, salt, and pepper!

My Favorite Instant Pot!
I absolutely love my Instant Pot! It’s great for recipes like this smoked sausage mac and cheese, or to cook perfect rice, cook chicken to shred (the best!), and so much more.
Storage
Store leftovers covered in the refrigerator for up to 4 days.
Reheat in the microwave with a splash of milk to restore creaminess.
This doesn’t freeze super well due to the cheese sauce, but leftovers are great for a few days.
Notes From My Test Kitchen
Cheese Melting Tip: Add the cheese one handful at a time and stir until each addition is melted before adding more. This prevents clumping and keeps everything smooth.
Liquid Levels: Don’t drain the cooking liquid after pressure cooking – you need it to make the cheese sauce creamy and smooth.
Protein Options: Stir in leftover chicken, chopped bacon, or chicken sausage in place of the smoked sausage.
Heat Level: The Frank’s Red Hot adds flavor without heat. This isn’t spicy at all. To add spice, use andouille sausage in place of smoked sausage.
Make It Special: Fresh parsley on top makes this look fancy, but it’s just as good without it if you don’t have any on hand. Green onion also add a nice pop, if you don’t have picky eaters.

Instant Pot Mac and Cheese with Smoked Sausage
Ingredients
- 1 pound smoked sausage
- 1 teaspoon olive oil
- 1 pound macaroni uncooked
- 4 cups water
- 1 teaspoon ground mustard
- 1 teaspoon salt more to taste
- 1 teaspoon pepper
- 12 ounces evaporated milk
- 1 tablespoon Frank's Red Hot Sauce
- 16 ounces mild cheddar shredded
- 4 ounces Monterey Jack shredded
- 1 tablespoon chopped parsley
Instructions
- Set the Instant Pot or electric pressure cooker to saute on high. Heat the oil in the pot.
- Slice the smoked sausage into 1/4 inch rounds and place in the pot, cooking until browned on each. Remove sausage from the pot and set aside.
- Add the macaroni, water, mustard powder, salt, and pepper to the pot.
- Place the lid on the pressure cooker and set to sealing.
- Cook on manual pressure for 3 minutes.
- Quick release the pressure and remove the lid. Do not drain the liquid.
- Turn the pressure cooker to saute and stir in the evaporate milk and hot sauce.
- Stir in the cheese, one handful at a time, until it’s all melted and combined.
- Stir the sausage into the macaroni and cheese, taste and season with additional salt or pepper, if needed. Top with parsley, and serve.
Kathy Gifford says
Do you drain off the water after cooking the macaroni??
Karly says
Nope! There’s just enough water to cook the noodles and then help make the sauce.
Renee Lamb says
This was amazing! I was afraid that it was going to be too heavy, but followed the recipe exactly and it was delicious. My kids suggested to maybe add peas on the next batch. Also, if you’re wondering if you should rinse the pot after sauteing the sausage…DON’T. It adds great flavor
Karly says
Peas are a great addition – and I love that your kids suggested them. Mine would never. 😉 Glad you enjoyed the recipe!
Tammy says
This was amazing! My whole family loved it! Definitely a keeper for us.
Karly says
Yay! Glad to hear that!
Amber says
Just half the recipe! 🙂
Leigh says
I have a 3 quart instant pot, are the amounts more in this recipe? Should I cut the amounts in half?
Karly says
I’m not sure how much would fit in a 3 quart. I’ve only ever used a 6 quart.
Jan says
I have all ingredients except evaporated milk……:( Â any ideas of a decent substitution? Â I have regular organic milk and heavy whipping cream…….? Â Thanks~
Karly says
No, I’m sorry, I don’t know of any substitutions. I haven’t tried making this with regular milk or cream, so I’m not sure how well it would work.
Brandy says
We use the Cajun Smoked Sausage with your recipe, it really adds that extra edge to the mac n cheese. Love this recipe!
Karly says
I bet the extra spice is delicious in the mac and cheese! 🙂
Andy says
My husband travels for work, and our son and I recently had the opportunity to visit him on the road. After working on the road for weeks at a time, it’s safe to say he gets burnt out on eating at restaurants, and after 10-12 hour work days he sure doesn’t feel like grocery shopping and cooking (and I can’t blame him). So on this visit, we brought along our express cooker, and I tried this beauty out! Not only did we get to have a delicious home cooked meal as a family, but he now has leftovers for dinner after we return home! Thanks for this super fast, easy, tasty recipe that allowed us to spend a little more time together.
I may or may not have taste tested throughout the cooking process ?
Karly says
So glad you and your family enjoyed this one and it gave you a little extra time together. My husband travels for work too and it can be rough! <3
Adele says
Since there are many different sizes of Instant Pot, what size is this recipe designed for? I always have trouble with recipes that don’t indicate pot size.
Karly says
I use a 6 quart and have only ever tried this in that.
Adele says
Thanks. I have the 3 Qt so I will half the recipe.
Sara says
What kind of smoked sausage? Like a kielbasa?Â
Karly says
Yep, kielbasa is perfect.