# Pureed Macaroni & Cheese: IDDSI Level 4 recipe

Canonical: [https://followyourswallow.com/recipes/pureed-macaroni-cheese-level-4](https://followyourswallow.com/recipes/pureed-macaroni-cheese-level-4)

Level 4: Extremely Thick / Pureed | 25 min | Serves 2

## Family version

- Baked macaroni and cheese
- Browned cheese top
- Breadcrumbs

## Level 4 ingredients

- 180 g macaroni, cooked very soft
- 250 ml smooth cheese sauce
- 60 ml warm milk as needed
- 1 tbsp cream cheese

## Method

1. Cook the macaroni well beyond al dente until it breaks apart under a fork.
2. Blend pasta, warm cheese sauce, and cream cheese until no pasta pieces remain.
3. Pass through a fine sieve and add warm milk a spoonful at a time if the puree is sticky or too firm.
4. Check that it holds a soft mound, is not gluey, and slides off the spoon in one cohesive spoonful.
5. Serve without baked crust, breadcrumbs, grated cheese, or any chewy browned pieces.

## Equipment

Blender, fine sieve, spoon and fork for testing

## Practical tip

Pasta starch can turn gluey quickly; extra smooth sauce is safer than blending longer once the pasta is smooth.

## 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.