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What makes Old fashioned baked macaroni and cheese is made with simple? Wholesome ingredients and a baked preparation that ensures a crispy, golden crust. It's the kind of dish your grandmother might have made—from scratch, with love, and without cutting corners. It typically includes elbow macaroni, a creamy cheese sauce made from a roux, and a topping of breadcrumbs or extra cheese for that irresistible crunch.