“Why do we always wait for the holidays to enjoy ham?” I overheard my friend lament as we were clearing out the fridge after a festive gathering. If you’ve found yourself with a mound of leftover ham, let me offer a delicious remedy: my Creamy Leftover Ham & Cheese Casserole. This cozy dish not only transforms those excess slices into something extraordinary, but it also delights the whole family—kids included! With its rich, cheesy sauce and tender pasta, this casserole is a quick-prep meal that’s comforting and satisfying, taking just 45 minutes from prep to plate. Say goodbye to bland leftovers and hello to a scrumptious feast that will have everyone clamoring for seconds. Curious about how to whip this up and make use of that leftover ham? Let’s dive in!

Why Love Leftover Ham Casserole?
Comforting simplicity: This creamy dish comes together effortlessly in just 45 minutes, making it a go-to for busy weeknights.
Kid-approved flavor: With gooey cheese and tender pasta, it pleases even the pickiest eaters.
Creative versatility: Easily substitute cheese or add veggies to tailor it to your family’s taste, just like my Cornbread Breakfast Casserole does for a brunch twist!
Zero waste: Transforming leftover ham into a hearty meal ensures nothing goes to waste.
Crowd-pleasing appeal: Perfect for family gatherings or quick dinners, it’s sure to become a favorite at your table!
Leftover Ham & Cheese Casserole Ingredients
For the Casserole
• Leftover Spiral Ham – This ingredient brings savory depth, and any precooked ham will work beautifully.
• Dry Elbow Macaroni – Offers a perfect structure; be sure to cook it until al dente for the best texture.
• White Cheddar Cheese – A sharp and creamy addition; freshly shredded cheese delivers extra creaminess to the dish.
• Yellow Cheddar Cheese – Complements the white cheddar with a milder taste and a lovely color.
• Cream Cheese – Adds creaminess to the sauce; remember to let it sit at room temperature for easier blending.
• Cream of Mushroom Soup – Serves as the sauce base, enhancing that umami flavor; feel free to swap in cream of chicken or celery soup if you prefer.
• Whole Milk – Provides richness and creaminess; for a twist, try substituting with sour cream.
• Ground Black Pepper & Garlic Seasoning – Adds essential flavor; adjust to taste for a personalized touch.
For the Topping
• Remaining Shredded Cheese – Sprinkle on top before baking for a bubbly, cheesy crust that your family will love!
• Optional Green Onions – A fresh garnish that adds a pop of color and a slight crunch if desired.
This Leftover Ham & Cheese Casserole is not only delicious but also a fantastic way to make the most out of your holiday meals!
Step‑by‑Step Instructions for Leftover Ham & Cheese Casserole
Step 1: Preheat the Oven
Begin by preheating your oven to 350°F (175°C). This ensures that your casserole will cook evenly and reach that delightful bubbly state. While the oven warms up, gather your ingredients and a 9x13-inch casserole dish, greasing it lightly with cooking spray or butter to prevent sticking.
Step 2: Cook the Pasta
In a large pot, bring water to a boil and add your dry elbow macaroni. Cook according to package instructions until the pasta reaches al dente, which should take about 7-8 minutes. Once cooked, drain the macaroni and return it to the pot. The light steam in the pot will help keep the pasta warm.
Step 3: Mix the Casserole Ingredients
To the warm macaroni, add your chopped leftover ham, cream of mushroom soup, whole milk, room-temperature cream cheese, half of the shredded cheese, and a sprinkle of ground black pepper and garlic seasoning. Stir the mixture vigorously until everything is well combined and creamy, creating a sumptuous filling for your Leftover Ham & Cheese Casserole.
Step 4: Transfer to Dish
Carefully pour the creamy mixture into your greased casserole dish. Spread it evenly with a spatula, ensuring every corner is filled. This step is crucial for even cooking and that golden, crispy topping!
Step 5: Add the Topping
Sprinkle the remaining shredded cheese generously over the top of the casserole. This will create a delectable, bubbly crust as the casserole bakes. If you're feeling adventurous, add sliced green onions for a pop of color and flavor!
Step 6: Bake the Casserole
Place the casserole in the preheated oven and bake uncovered for about 30 minutes. You'll know it’s done when the cheese on top is melted, bubbly, and turns a beautiful golden brown. Keep an eye on it during the last few minutes to avoid over-browning.
Step 7: Garnish and Serve
Once out of the oven, let the casserole cool for a few minutes to set before serving. Optionally, garnish with additional sliced green onions for freshness. Now you’re ready to enjoy a comforting portion of your Leftover Ham & Cheese Casserole, warm from the oven and sure to please your family!

What to Serve with Creamy Leftover Ham & Cheese Casserole
When it comes to enjoying a comforting casserole, sides can truly elevate the meal into a delightful feast.
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Fresh Green Salad: A crisp salad dressed with a tangy vinaigrette adds a refreshing contrast to the creamy casserole, making every bite a harmonious experience. Toss in some cherry tomatoes, cucumbers, and crunchy croutons for extra texture!
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Garlic Bread: The warm, buttery flavors of garlic bread complement the cheesy richness of the casserole perfectly. Plus, is there anything better than dipping that bread into leftover sauce?
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Steamed Broccoli: This vibrant veggie brings a touch of green and a nutritious boost to your plate. Its slight bitterness balances the richness of the casserole while lending a lovely pop of color.
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Roasted Brussels Sprouts: With their crispy edges and earthy flavor, roasted Brussels sprouts are a delightful addition. Their slight sweetness and crunch make them a fantastic companion to the savory, creamy dish.
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Applesauce: For a sweet contrast, serve a side of applesauce. The fruity sweetness cuts through the richness of the casserole, making for an unexpected yet winning combination.
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Fruit Salad: A refreshing fruit salad offers a burst of sweetness and bright flavors, which can cleanse the palate after the hearty casserole.
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Light White Wine: Pair with a chilled glass of light white wine, like Sauvignon Blanc. Its crisp and refreshing notes will enhance the meal while balancing the creamy, cheesy elements of the casserole.
Expert Tips for Leftover Ham & Cheese Casserole
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Use Fresh Cheese: Always opt for freshly shredded cheese; it melts better and gives your casserole that perfect creamy texture.
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Don’t Overcook Pasta: Be careful not to overcook the macaroni; it should be al dente as it will continue cooking in the oven.
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Season to Taste: Adjust the ground black pepper and garlic seasoning based on your family’s preferences, creating a tailored flavor for your leftover ham & cheese casserole.
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Freeze for Later: If you want to prep ahead, freeze the unbaked casserole in a disposable dish for up to 3 months. Just thaw overnight and bake!
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Add Veggies: Amp up the nutrition by adding vegetables like peas or steamed broccoli to the mix. They add color and flavor to your dish.
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Watch the Bake Time: Keep an eye on your casserole in the oven during the last few minutes to prevent over-browning; you want that golden, bubbly cheese without burning!
How to Store and Freeze Leftover Ham & Cheese Casserole
Fridge: Store any leftovers covered in the refrigerator for up to 3 days. This keeps the casserole fresh and ready for a quick reheat.
Freezer: For longer storage, freeze the unbaked casserole in an airtight container for up to 3 months. Thaw overnight in the fridge before baking.
Reheating: To reheat, place the casserole in a preheated oven at 350°F (175°C) for about 25-30 minutes until heated through and the cheese is bubbly again.
Serving Tip: For best flavor and texture, allow the casserole to cool for a few minutes before serving to set and enhance the creamy goodness of your leftover ham & cheese casserole.
Leftover Ham & Cheese Casserole Variations
Feel free to get creative with your casserole and explore these delightful twists that will inspire your next meal!
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Cheese Swap: Try using Swiss or Monterey Jack cheese instead of cheddar for a unique flavor. Each type brings its own creamy goodness to the dish!
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Veggie Boost: Incorporate sautéed mushrooms or steamed broccoli for a pop of color and added nutrition. Fresh veggies not only enhance the flavor but make it more balanced.
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Spicy Kick: Add jalapeños or a dash of cayenne pepper for some heat. This adds an exciting zing that can elevate the comfort of your casserole.
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Herbed Goodness: Fresh or dried herbs like thyme or parsley can bring a bright touch to your casserole. A sprinkle right before baking infuses wonderful aromas!
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Crunchy Topping: For texture, top your casserole with French fried onions or crushed crackers before baking. This will create a delightful crispy layer that contrasts beautifully with the creamy filling.
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Creamy Alternatives: Substitute the cream of mushroom soup with homemade white sauce for a fresher flavor. It's a great way to take control of what goes into your casserole!
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Mac N’ Cheese Spin: Turn this into a classic mac ‘n cheese by keeping the focus on cheese and pasta, leaving out the ham for a satisfying vegetarian option.
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Breakfast Twist: Add scrambled eggs and breakfast sausage for a hearty breakfast casserole, making it a fantastic dish for brunch gatherings, similar to my Cornbread Breakfast Casserole.
With these variations on your Leftover Ham & Cheese Casserole, you'll create a dish that not only helps reduce waste but also keeps your family coming back for more—what a win-win!
Make Ahead Options
These Leftover Ham & Cheese Casserole preparations are a lifesaver for busy weeknights! You can assemble the entire casserole up to 24 hours in advance. Simply complete the steps up until pouring the mixture into the casserole dish, cover tightly with plastic wrap, and refrigerate. This ensures all the flavors meld beautifully overnight. To maintain quality, avoid baking until you’re ready to serve; just add an extra 5-10 minutes to the bake time if it’s still cold from the fridge. If you prefer, you can also freeze the unbaked casserole for up to 3 months; thaw it overnight in the refrigerator before baking for a comforting meal that’s just as delicious as fresh!

Leftover Ham & Cheese Casserole Recipe FAQs
What type of ham should I use for the casserole?
Absolutely! You can use any type of leftover precooked ham, such as spiral ham or even deli ham. Just make sure it's diced into bite-sized pieces for better distribution throughout the casserole!
How long can I store leftover ham & cheese casserole in the fridge?
For the best flavor and safety, store your leftover ham & cheese casserole covered in the refrigerator for up to 3 days. Keep it tightly wrapped or in an airtight container to maintain its deliciousness!
Can I freeze the leftover ham & cheese casserole?
Very! To freeze, prepare the casserole in a disposable, freezer-safe dish. Cover it tightly with plastic wrap and foil. It can be frozen for up to 3 months. When you’re ready to bake, thaw it overnight in the refrigerator and bake as directed—just add an extra 5 to 10 minutes to the cooking time to ensure it's heated through.
What if my casserole turns out too dry?
If you find your casserole drying out, try adding a splash of milk or broth next time for moisture. If it's too late, simply top with more cheese or a little cream before reheating, covering it with foil to help retain moisture while baking!
Are there any dietary considerations I should keep in mind?
Definitely! This recipe contains dairy and gluten. If you have lactose intolerance, consider using lactose-free milk and cream cheese. For gluten-free options, replace the elbow macaroni with gluten-free pasta. Always check for any other allergies related to the specific ingredients in your casserole.
Can I add vegetables to the casserole?
Absolutely! Adding veggies like steamed broccoli, peas, or bell peppers not only enhances the nutrition but also provides a lovely splash of color. Cook or steam them lightly before mixing them into the casserole to ensure they cook perfectly in the oven.

Creamy Leftover Ham & Cheese Casserole for Cozy Family Nights
Ingredients
Equipment
Method
- Preheat your oven to 350°F (175°C) and prepare a 9x13-inch casserole dish.
- Cook the dry elbow macaroni in boiling water until al dente, about 7-8 minutes; drain and return to pot.
- Add the chopped leftover ham, cream of mushroom soup, whole milk, cream cheese, half of the shredded cheese, and seasonings to the macaroni. Stir until combined.
- Pour the mixture into the greased casserole dish and spread evenly.
- Sprinkle the remaining shredded cheese over the top of the casserole.
- Bake uncovered for about 30 minutes until the cheese is melted and bubbly.
- Let the casserole cool for a few minutes before serving. Optionally garnish with green onions.





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