Macaroni and cheese, called ‘mac and cheese’ (US, Canada, Australia), ‘macaroni pie’ (Caribbean), or ‘macaroni cheese’ (UK, New Zealand) is a dish consisting of cooked macaroni (durum wheat pasta) and cheese, though it can also incorporate other ingredients, such as bread crumbs, Worcestershire sauce, and a roux (a thickening agent created by cooking wheat flour and fat) such as a bechamel (butter and flour cooked in milk).
It is possible to make the dish with actual cheese rather than a cheese sauce. It has been suggested that pasta rigati or some other small shell macaroni is an excellent choice for the pasta ingredient due to its ‘pocket’ to hold cheese.
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The Daily Omnivore 