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Different views of a healthy mac and cheese. One served on a white plate. The other in a skillet.
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Different views of a healthy mac and cheese. One served on a white plate. The other in a skillet.
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Home » Recipes » American

Healthy Mac and Cheese

Published: Jan 31, 2019 Updated: Apr 16, 2024 Author: Roxana Begum· This post may contain affiliate links.

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Different views of a healthy mac and cheese. One served on a white plate. The other in a skillet.

This healthy mac and cheese, is made with delicious lentil pasta and tastes so rich, creamy and cheesy. An ultimate comfort food that will please both kids and adults. You will not even know how cleverly this incredibly rich tasting recipe sneaks in vegetables, while taking the flavor and nutrition up a notch!

Baked healthy mac and cheese prepared with lentil pasta and served in cast iron skillet.

Mac and Cheese with Butternut Squash

Mac and cheese is a classic comfort food that is an evergreen favorite especially with kids. But most popular recipes are prepared with lots of butter, cheese, refined flour and refined flour pasta. So naturally they come with a big dose of calories, total fat and saturated fat.

The recipe here is a significant improvement over traditional mac and cheese recipes, but with 'no change' to the taste. A brilliant way to maintain the creamy and rich taste is to use butternut squash, while lowering the amount of cheese and boosting the nutrition. The bonus is it gives that characteristic mac & cheese color to the sauce without so much cheese.

And this healthy mac and cheese recipe also uses caramelized onions that adds the irresistible "French Onion" flavor along with fragrant thyme and bay leaves. It is so good that even Adults will enjoy it as much as kids. Promise! So you have one healthy meal for the whole family. Just the right thing to have during these cold stormy winters!

Cooked lentil pasta being added to a healthy cheese sauce to prepare mac and cheese.

How to Make It

  • Step 1: Caramelize onions with butter and olive oil. Stir in grated garlic, thyme, bay leaves, salt and pepper. More detailed steps for caramelizing onions here. I use the 7.5 mm setting on my mandolin slicer.
  • Step 2: Cook butternut squash in boiling salted water until tender.
  • Step 3: Cook the lentil pasta in boiling salted water and drain 2 minutes prior to al dente stage (as it will cook more while baking later). Toss it with some olive oil, spread it on a plate and cool it completely.
  • Step 4 & 5: Add milk and salt to the butternut squash and puree it to a smooth paste in a high speed blender.
  • Step 6:
    • Heat the butternut squash-milk mixture and add half the caramelized onions. Stir the cheese into the sauce as it melts.
    • Add the cooled pasta and seasonings to the sauce and stir. Top with remaining caramelized onions, shredded cheese, optional gluten-free breadcrumbs and Parmesan cheese if you like.
    • Bake at 375 degrees F for 15 to 20 minutes, until golden brown on the top.
A step by step depiction of the cooking process for making a healthy mac and cheese recipe.

Lentil Pasta for Macaroni and Cheese

The star of the show really is the red lentil pasta. It is a gluten-free pasta made from red lentils, white rice, pea protein and is packed with plant protein and fiber. Red lentils also provide phytochemicals with antioxidant properties. 

This pasta has a good texture, feels lighter and still makes an absolutely filling and satisfying meal. So the plant protein and fiber along with the fat content in this healthy mac and cheese is a perfect mix of satiating nutrients that will keep you fueled in a healthy way. Not to mention the big bonus of the additional nutrients from the lentil pasta. 

Close up view of lentil pasta with other ingredients used for making a healthy mac and cheese.

How to Make it Healthier

  • Add vegetables as purees to the sauce - butternut squash, carrots and cauliflower. Note that the cauliflower flavor will be a bit noticeable. Add vegetables just before end of cooking time - peas, broccoli. Try roasted vegetables (zucchini, Brussels sprouts) or sautéed onions.
  • Substitute some of the cheese with Greek yogurt. And use Parmesan cheese as a topping to boost the cheesy flavor.
  • Try chickpea flour or amaranth flour for making the sauce instead of all purpose flour.  
  • Use gluten-free, high protein, high fiber pasta (such as this lentil pasta) instead of the commonly used refined flour pasta. 
  • Reduce the amount of butter. May substitute some or all of the milk with nut milks and chicken broth.
  • Use grass fed dairy as it provides more omega-3 fats.
  • Top it with almond slices instead of breadcrumbs and cheese.
A serving of healthy mac and cheese on a white plate placed on a table.

Cook's Tips

  • It is best to grate your own cheese. Ready made shredded cheese do not melt very well due to the additives.
  • Under cook the pasta, toss with oil, spread it on a plate and let it cool. This will prevent the pasta from clumping together and becoming too soft or overcooked while baking.
  • I like using Gruyere cheese as it goes so well with the French onion flavor. But you could also use cheddar, provolone, Gouda, jack cheese, pepper jack, Jalsberg Swiss, or a combination. Sharp or extra sharp cheddar has more intense flavor. And I use some mozzarella for that stringy texture. 
  • You can bake this in a large baking dish or in individual small bowls.
  • Make Ahead: Prepare all the individual components - caramelized onions, pasta, sauce, topping etc and set it aside. Assemble and bake just before serving.
  • Leftovers: The leftovers stay remarkably well in the refrigerator. I prefer to reheat in the oven. However you could also use a microwave, making sure to broil the top after that. 
Close up view of a serving of mac and cheese on a white plate with a fork.

More Delicious Recipes

  • Low Carb French Onion Pizza
  • Sumac Caramelized Onion Musakhan
  • Persian Noodle Soup (Ash Reshteh)
  • Spiced Butternut Squash Soup

★ DID YOU MAKE THIS RECIPE? PLEASE COMMENT AND GIVE IT A STAR RATING BELOW!

Healthy mac and cheese prepared with lentil pasta in cast iron skillet.
5 from 5 votes

Healthy Mac and Cheese

This healthy mac and cheese, is made with delicious lentil pasta and tastes so rich, creamy and cheesy. An ultimate comfort food that will please both kids and adults. You will not even know how cleverly this incredibly rich tasting recipe sneaks in vegetables, while taking the flavor and nutrition up a notch!
Prep Time10 minutes mins
Cook Time40 minutes mins
Total Time50 minutes mins
Print SaveSaved!
Course :Main Course
Cuisine :American
Servings: 7 cups
Calories: 295kcal
Author: Roxana Begum, PhD, RD

Ingredients

  • 1 tablespoon butter
  • 2½ teaspoon olive oil
  • 3 cups onions sweet, Vidalia, thinly sliced
  • 1 teaspoon garlic grated
  • 5 sprigs dried thyme fresh or 2 teaspoons dried
  • 2 bay leaves
  • ⅔ tsp salt
  • 1 pinch ground black pepper
  • 1½ cups butternut squash peeled and diced
  • 8 oz lentil pasta
  • 1½ cups milk reduced fat
  • 4 oz Gruyere cheese shredded
  • 2 oz Mozzarella cheese shredded, part skim

Optional Ingredients

  • 2 tablespoon Parmesan cheese grated
  • 2 tablespoon bread crumbs panko, gluten-free
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Instructions

Caramelization of Onions

  • Melt the butter in a 10 inch cast iron skillet. Add ½ tablespoon olive oil and heat it. Next, add the sliced onions, 3 sprigs thyme, bay leaves, grated garlic and stir.
    (Tip: More detailed steps for caramelizing onions here. I use the 7.5 mm setting on my mandolin slicer.)
  • Sauté for about 20 minutes until nicely caramelized, checking and stirring in between. Stir in a pinch of salt and pepper. Transfer the onions to a separate plate and set aside.

Prepare Butternut Squash and Pasta

  • While the onions are caramelizing, bring 4 quarts of salted water to a rolling boil. Add the chopped butternut squash and cook for 5 to 6 minutes until tender. Using a slotted wide spoon transfer the cooked butternut squash to a high speed blender and set aside.
  • In the same boiling water add the lentil pasta and let it cook for about 3 to 4 minutes (2 minutes less than al dente stage, as it will cook while baking later).
  • Drain the pasta and transfer to a bowl and toss it with some olive oil to coat the pasta. Spread the pasta over a plate to let it cool completely. This will prevent clumping.

Cheese Sauce and Assembly

  • Preheat the oven to 375 degrees F.
  • Add milk and ½ teaspoon salt to the butternut squash in a high speed blender and puree it to a smooth paste. If you dip a spatula into the mixture and run a finger over, it should leave the impression.
  • Pour the butternut squash and milk mixture into the cast iron skillet and heat it at medium setting for about 5 minutes. Stir half the caramelized onions into the sauce. Adjust the salt to taste.
    (Tip: If you prefer, you can also try adding the caramelized onions while blending the squash and milk mixture. But the onions are so well done that you may not need to)
  • Move the skillet away from the stove, add the cheese to the sauce, reserving a little for topping in the end. Stir the cheese into the sauce as it melts.
  • Then add the cooled pasta and any optional seasonings to the sauce and stir. Add dollops of the remaining caramelized onions on the top and tuck it in lightly using a fork.
  • Top with the remaining shredded cheese. And then with gluten-free breadcrumbs and Parmesan cheese if you prefer.
  • Place the skillet, uncovered in the oven and bake it for 15 to 20 minutes, until golden brown on the top (or just broil it a couple minutes more if the top doesn't turn golden).
  • Serve it hot and fresh from the oven. Scatter a few thyme leaves on the top if you prefer.

Stove Top and Broiled Version (Optional)

  • Alternatively you can just broil the top for a few minutes until it is golden brown on the top and skip the baking. You may want to cook the sauce a bit thicker before adding to the pasta as well.

Notes

  1. Grate your own cheese. Ready made shredded cheese do not melt very well due to the additives.
  2. Under cook the pasta, toss with oil, spread it on a plate and let it cool. This will prevent the pasta from clumping together and becoming too soft or overcooked while baking.
  3. I like using Gruyere cheese as it goes so well with the French onion flavor. But you could also use cheddar, provolone, Gouda, jack cheese, pepper jack, Jalsberg Swiss, or a combination. And use just a little bit of mozzarella for that stringy texture.
  4. You can bake this in a large baking dish or in individual small bowls.
  5. Make Ahead: Prepare all the individual components - caramelized onions, pasta, sauce, topping etc and set it aside. Assemble and bake just before serving.
  6. Leftovers: The leftovers stay remarkably well in the refrigerator. I prefer to reheat in the oven. However you could also use a microwave, making sure to broil the top.
  7. The amount of salt and the relevant nutrition facts is just an approximation. Adjust it to your taste. Nutrition facts for vitamin A and vitamin C not including lentil pasta data. You may choose a lighter cheese in place of Gruyere to lower the total fat and saturated fat further.

Nutrition

Serving: 1Cup | Calories: 295kcal | Carbohydrates: 33g | Protein: 16g | Fat: 10g | Saturated Fat: 5g | Polyunsaturated Fat: 0g | Monounsaturated Fat: 0g | Trans Fat: 0g | Cholesterol: 31mg | Sodium: 372mg | Potassium: 496mg | Fiber: 3g | Sugar: 7g | Vitamin A: 3520IU | Vitamin C: 10.9mg | Calcium: 325mg | Iron: 2.3mg
Did you make this recipe?I would love to know about it. Tag me @thedeliciouscrescent.
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Reader Interactions

Comments

  1. kim

    January 31, 2019 at 9:16 pm

    Oh I need to try Modern Table! This will be perfect for busy weeknights!

    Reply
    • Roxana Begum

      January 31, 2019 at 9:25 pm

      Yes definitely give it a try. Loved the noodles.

      Reply
  2. Jen

    January 31, 2019 at 8:55 pm

    Love this healthier twist using butternut squash and those protein noodles. Sounds delicious and like pure comfort food.

    Reply
    • Roxana Begum

      January 31, 2019 at 9:25 pm

      Yes Jen, comfort food that is healthier. Thanks :)

      Reply
  3. Ginny

    January 31, 2019 at 8:35 pm

    This must taste amazing! I love the French onion twist and I'm absilutely going to try it!

    Reply
    • Roxana Begum

      January 31, 2019 at 9:24 pm

      If you like French onion soup you will definitely love this :)

      Reply
  4. Jessica Formicola

    January 31, 2019 at 8:17 pm

    This mac and cheese is the best! My whole family loved it and they are already requesting it again!

    Reply
    • Roxana Begum

      January 31, 2019 at 9:23 pm

      Wow, so happy you like it :) Thanks Jessica.

      Reply
  5. Claudia Lamascolo

    January 31, 2019 at 8:11 pm

    healthy mac and cheese? bring it on! Wow this is sheer brillance and I cant wait to try it!

    Reply
    • Roxana Begum

      January 31, 2019 at 9:23 pm

      Thanks Claudia.

      Reply
5 from 5 votes

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Different views of a healthy mac and cheese. One served on a white plate. The other in a skillet.

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Hi, I'm Roxana, registered dietitian and recipe developer. Here I share wholesome & delicious recipes with room for cravings. Healthy makeovers. Step-by-step photos & videos.
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