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Creamy Pimiento Mac and Cheese
This one-pan Cajun cabbage skillet delivers bold Southern flavor, fiber, and protein in under 30 minutes.

There’s something undeniably comforting about mac and cheese but this version adds a flavorful Southern twist. Creamy pimiento cheese melts into tender pasta shells, while tuna and mushrooms boost protein and depth. The result? A hearty, satisfying dish that feels indulgent yet nourishing.
With approximately 20–25 grams of protein per serving (depending on portion size), this pimiento mac and cheese can support muscle maintenance and satiety especially helpful since protein-rich meals are linked to improved fullness and appetite control.
Here’s how to make it.
Ingredients
Kosher salt
8 ounces large pasta shells
1/4 cup vegetable oil
1 onion, chopped
8 ounces sliced cremini mushrooms
1 tablespoon chopped fresh thyme
Freshly ground pepper
1/4 cup all-purpose flour
2 1/2 cups low-sodium chicken broth
1 cup whole milk
3 (5-ounce) cans tuna packed in water, drained
1 cup pimiento cheese spread
8 butter crackers, crumbled
Directions
Cook the pasta.
Bring a large pot of salted water to a boil. Add pasta shells and cook according to package instructions. Drain and set aside.Sauté the vegetables.
Heat vegetable oil in a large ovenproof skillet over medium-high heat. Add onion, mushrooms, and 2 teaspoons thyme. Cook for 10–12 minutes, stirring occasionally, until softened and lightly browned. Season with salt and pepper.Build the sauce.
Stir flour into the vegetables and cook for 1 minute to eliminate the raw taste. Slowly add chicken broth and milk, stirring continuously. Bring to a boil and cook about 3 minutes, until thickened and creamy.Add tuna and cheese.
Stir in the drained tuna and 1/2 cup of pimiento cheese. Mix until the cheese melts and the sauce is smooth.Combine with pasta.
Fold in the cooked pasta shells and stir until evenly coated. Adjust seasoning with salt and pepper if needed.Broil for a golden finish.
Preheat the broiler. Dollop the remaining 1/2 cup pimiento cheese over the top. Broil for 1–3 minutes until melted and lightly browned.Add crunch.
Sprinkle with crumbled butter crackers and the remaining teaspoon of thyme. Broil an additional 30 seconds to 1 minute, just until golden.Rest before serving.
Let cool for 10 minutes to allow the sauce to set.
Why This Dish Works Nutritionally
This pimiento mac and cheese offers more than comfort:
Protein from tuna supports muscle health and keeps you fuller longer.
Mushrooms add fiber and antioxidants while keeping calories moderate.
Calcium from dairy supports bone strength important since women are at higher risk of osteoporosis, especially after menopause.
Whole milk and cheese fats enhance flavor and improve absorption of fat-soluble vitamins.
For a lighter version, you can:
Substitute whole milk with 2% milk
Use whole-wheat pasta for added fiber
Reduce cracker topping or swap for whole-grain crumbs
Serving Tips
Pair with:
A crisp green salad with vinaigrette
Steamed broccoli or green beans
A side of roasted tomatoes for brightness
Balanced meals that combine protein, fiber, and healthy fats help stabilize blood sugar and sustain energy levels.
Comfort food can absolutely fit into a healthy lifestyle especially when it includes nutrient-dense ingredients like tuna and vegetables.
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