- Maccheroni with cream, mushrooms, and sausage is a hearty and comforting pasta dish. The maccheroni, a tube-shaped pasta, is coated in a rich and creamy sauce made with sautéed mushrooms and flavorful sausage. The dish is elevated with a perfect balance of savory flavors, where the earthy mushrooms and the savory sausage are enveloped in a velvety cream sauce, creating a satisfying and indulgent meal.