# Creamy Macaroni & Cheese: IDDSI Level 5 recipe

Canonical: [https://followyourswallow.com/recipes/creamy-macaroni-cheese-level-5](https://followyourswallow.com/recipes/creamy-macaroni-cheese-level-5)

Level 5: Minced & Moist | 25 min | Serves 2

## Family version

- Macaroni and cheese
- Breadcrumb topping
- Broiled cheese crust

## Level 5 ingredients

- 180 g small pasta, cooked very soft
- 250 ml thick smooth cheese sauce
- 1 tbsp cream cheese
- Warm milk as needed

## Method

1. Cook the pasta until it is very soft rather than al dente.
2. Chop every pasta piece to 4 mm or smaller, using the gap between fork prongs as the measure.
3. Fold through plenty of thick cheese sauce and cream cheese until the pasta is cohesive and moist.
4. Check that the mixture holds on a fork without sauce dripping or pasta pieces falling away.
5. Serve before breadcrumbs or broiling; crisp topping and chewy cheese crust stay with the family version.

## Equipment

Sharp knife or mini food processor, fork for testing

## Practical tip

Use more sauce than the family pan needs; Level 5 pasta must stay moist through the final bite.

## Before serving

Run the appropriate IDDSI fork and spoon tests on the finished serving. Recipes guide the preparation; only testing confirms how the serving behaves.

## Safety

Use only the food and drink levels prescribed by the person's qualified clinician. Test the actual serving before it is eaten or drunk.