The Forgotten Southern Pasta That Costs Almost Nothing to Make

It’s a simple, comforting dish that’s stood the test of time.

Cooked macaroni with diced tomatoes resting on a wooden spoon

Simply Recipes / Ali Redmond

  • Macaroni and tomatoes uses just a few basic pantry staples for a budget-friendly meal.
  • You can customize the recipe with bacon, onions, garlic, or your favorite cheese.
  • It is substantial enough to serve as a main or pair with simple sides like beans or salad.

I’ve lived in the South my whole life, but I’m constantly surprised by new-to-me Southern classics that I find hiding in old, spiral-bound cookbooks. I was poring over a stack of them at a flea market when a simple-sounding recipe jumped out at me: macaroni and tomatoes.

Despite my Southern upbringing, I had never heard of the dish, but I was intrigued (and I had a hunch that my noodle-loving youngest child would be a fan), so I kept reading. Later, curiosity piqued, I asked my mom if Grandma Winnie (her mom) ever made the dish, and she responded instantly, “Yes, all the time!”

Pot of macaroni with a wooden spoon garnished with tomato pieces and pepper placed next to a small bowl and a yellow napkin

Simply Recipes / Ali Redmond

What Is Macaroni and Tomatoes?

Macaroni and tomatoes is a Depression-era dish from the Appalachian South that relies on affordable pantry staples, like macaroni noodles, canned tomatoes, and sometimes bacon, butter, onions, and/or garlic.

So it makes sense that my Grandma Winnie, who was born in 1913 in rural southwest Virginia, would be well familiar with the dish. My mom recalled, “We frequently had meals with no meat. We couldn’t afford it, but we did have lots of veggies. The tomatoes she used were ones that she grew and canned.”

The first time I made macaroni and tomatoes, I understood the appeal. The dish is elementally comforting, with bouncy macaroni noodles and tangy tomatoes. It’s not exactly a sauce, but the tomatoes add just enough flavor to keep things interesting.

Though my mom doesn’t remember bacon grease being used in Grandma Winnie’s version, I decided to use some to bring some smokiness to the dish. With grocery prices on the rise, this is a simple, customizable three-ingredient dish that can feed four hungry people—just the kind of weeknight workhorse I’m looking for these days.

Two bowls of macaroni with tomatoes placed on a light background with forks in each bowl

Simply Recipes / Ali Redmond

What To Serve with Macaroni and Tomatoes

My mom said she didn’t recall eating many side dishes with this humble meal. This was, after all, the whole point of serving such a simple dish. But, she says, if there was anything else on the table, it was likely a bowl of pinto beans, a common dish for her growing up, and one that I can’t help but notice adds some plant-based protein to the meal.

Other sides to serve with macaroni and tomatoes include a simple green salad, freshly baked bread, and Southern-style green beans. It can also work as a side dish alongside a roast chicken or homemade fish sticks.

Tips for Making Macaroni and Tomatoes

  • If you don’t have bacon grease on hand, use butter or even olive oil instead.
  • For an extra layer of flavor, sauté half an onion and two gloves of garlic in the bacon grease, and then add the tomatoes and the elbow macaroni.
  • Top the dish with shredded cheese, like cheddar or parmesan, to add a little creaminess.
  • Upgrade the final dish with a garnish of fresh herbs, like parsley or basil.
A bowl of pasta with a tomatobased sauce and a fork on the side

Simply Recipes / Ali Redmond

Southern Macaroni and Tomatoes

Prep Time 5 mins
Cook Time 15 mins
Total Time 20 mins
Servings 3 to 4 servings
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Ingredients

  • 8 ounces uncooked elbow macaroni

  • 1 tablespoon bacon grease, butter, or olive oil

  • 1 (14-ounce) can diced tomatoes

  • Salt and freshly ground black pepper, to taste

Method

  1. Cook the pasta:

    Cook the pasta according to package directions. Drain the pasta, reserving about 1/2 cup pasta water, and return the pasta to the pot over medium-low heat.

  2. Add the remaining ingredients:

    Stir in the bacon grease and diced tomatoes, and add a splash of the reserved pasta water for consistency, as needed, stirring to combine everything and coat the pasta with the sauce. Taste and adjust the seasonings. Serve immediately.

    Refrigerate leftovers in an airtight container for up to 5 days. Reheat over medium-low heat on the stove, adding a splash of water if the pasta has dried out.

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Nutrition Facts (per serving)
134 Calories
4g Fat
21g Carbs
4g Protein
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Nutrition Facts
Servings: 3 to 4
Amount per serving
Calories 134
% Daily Value*
Total Fat 4g 5%
Saturated Fat 1g 7%
Cholesterol 3mg 1%
Sodium 120mg 5%
Total Carbohydrate 21g 8%
Dietary Fiber 3g 10%
Total Sugars 3g
Protein 4g
Vitamin C 13mg 63%
Calcium 37mg 3%
Iron 1mg 7%
Potassium 214mg 5%
*The % Daily Value (DV) tells you how much a nutrient in a food serving contributes to a daily diet. 2,000 calories a day is used for general nutrition advice.
Nutrition information is calculated using an ingredient database and should be considered an estimate. In cases where multiple ingredient alternatives are given, the first listed is calculated for nutrition. Garnishes and optional ingredients are not included.