Browned sausage and sliced tomatoes help to make this creamy, delicious macaroni and cheese a hearty main dish. The flavorful casserole is made with pork sausage, chopped vegetables, and a homemade cheese sauce. It's topped with a buttered bread crumb topping and baked to perfection. Serve this macaroni and cheese bake with biscuits or fresh sliced bread for a fabulous everyday meal.