Layers of ooey gooey macaroni cheese sandwiching a cumin spiced lamb mince. #pastitsio #macaronicheese #macaroni
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4.5 from 32 votes

Pastitsio - Greek Macaroni Pie

Pastitsio is a Greek-style macaroni cheese pie. In this easy family favourite recipe layers of ooey gooey macaroni cheese sandwich a spiced lamb mince.
Prep Time30 mins
Cook Time30 mins
Total Time1 hr
Course: Main Course
Cuisine: Mediterranean
Servings: 6 servings
Calories: 587kcal
Author: Elizabeth




  • Preheat the oven to 180 C/ 375 F.
  • Bring a pan of salted water to the boil and cook the macaroni according to the package instructions, until al dente. About 8 minutes. Reserve 300 ml of the pasta cooking water to make your stock with.
  • Drain the pasta in a colander and pour over plenty of cold water to stop the cooking process. Set aside.
  • Meanwhile, heat the oil in a saute pan.
  • Gently saute the onion and garlic for 8-10 minutes, until softened. Add the lamb mince, season well with salt and pepper, and cook until browned all over.
  • Mix the lamb stock cube with the pasta water to make a lamb stock, and pour into the lamb mixture along with the ground spices, tomato puree and chopped mint.
  • Simmer, gently, for 10-15 minutes, until the mixture is thick.
  • Heat the butter in a small saucepan until melted and beginning to bubble. Stir in the flour and cook for one minute, stirring constantly.
  • Remove from the heat and whisk in the milk and yogurt.
  • Return to the heat and cook gently for a further five minutes. Remove from the heat again and stir in half of the grated cheese.
  • Mix the cooked macaroni with the cheese sauce and spoon half of the mixture into the bottom of a medium sized baking dish.
  • Spoon over the spiced lamb mince and top with the remaining macaroni. Sprinkle with the remaining grated cheese.
  • Bake in the preheated oven for 30 minutes, or until the top is golden and bubbly.
  • Serve with a side salad!



Beef & Cheddar Mac & Cheese Variation

Simply replace the lamb with ground beef and use beef stock instead of lamb stock. Replace the Kefalotyri (or Parmesan) with 135 grams/ 1.5 cups of grated mature cheddar.

How many Watchers Points in pastitsio?

There are 20 Smart Points per serving of this recipe.


Calories: 587kcal | Carbohydrates: 41g | Protein: 27g | Fat: 34g | Saturated Fat: 16g | Cholesterol: 95mg | Sodium: 293mg | Potassium: 218mg | Fiber: 2g | Sugar: 4g | Vitamin A: 390IU | Vitamin C: 2.3mg | Calcium: 232mg | Iron: 2.5mg