Preheat oven to 350 degrees F. Cook macaroni according to package directions.
In a skillet over medium heat, cook the sausage until evenly brown and onion until tender. Drain grease.
In a bowl, mix the pizza sauce, tomato sauce, and milk. Stir in the sausage and onion, pepperoni and any other desired 'pizza' toppings. Gently mix in cooked macaroni until evenly coated. Transfer to a prepared baking dish.
Cover and bake 20 minutes. Remove cover, top with cheese, and continue baking for 15 minutes or until cheese is melted and bubbly.
Originally Submitted
4/30/2008
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