Ham Tetrazzini

This Ham Tetrazzini transforms everyday ingredients into a creamy, cheesy pasta sensation that’ll have everyone asking for seconds. It’s the perfect blend of tender pasta, savory ham, and a velvety sauce that comes together in just minutes.

What makes this dish truly special is the way the two cheeses melt into the sauce, creating pockets of gooey goodness in every bite. The mushrooms add an earthy depth while sweet peas pop with fresh flavor against the rich, creamy background.

Ingredients

For the Pasta Base:

• 8 ounces spaghetti
• 2 tablespoons butter

For the Vegetable Mix:

• 1/2 medium onion, diced
• 6 ounces mushrooms, sliced
• 1 cup peas, cooked

For the Sauce:

• 1 (10.75-ounce) can condensed cream of chicken soup (or cream of mushroom)
• 1/2 cup milk
• 1/4 teaspoon white pepper
• 1/4 teaspoon black pepper

For the Protein & Cheese:

• 1 1/2 cups diced ham
• 1 cup shredded cheddar cheese
• 1/4 cup shredded Parmesan cheese

Steps

1. Bring a large pot of water to a rolling boil. Add 1 tablespoon salt and cook spaghetti for 8-10 minutes until al dente. Test by biting a strand – it should be firm but not crunchy.
2. In a large skillet over medium heat, melt 2 tablespoons butter. Add diced onion and sliced mushrooms, cooking for 5-7 minutes until onions become translucent and mushrooms release their moisture and brown.
3. Pour in condensed soup and milk, stirring constantly to prevent lumps. Add both white and black pepper. Simmer for 2-3 minutes until sauce starts to bubble gently around the edges.
4. Fold in ham, peas, and both cheeses. Cook for 3-4 minutes over medium heat, stirring frequently until cheese melts completely and creates a smooth sauce. The mixture should coat the back of a spoon.
5. Add the drained pasta to the pan, using tongs to coat every strand with sauce. Cook for an additional 1-2 minutes until everything is heated through and well combined.

Smart Swaps

• Use whole wheat spaghetti for added fiber
• Substitute turkey for ham to reduce sodium
• Try Greek yogurt mixed with milk instead of cream soup for higher protein

Make It Diabetes-Friendly

• Use Palmini noodles (hearts of palm pasta) to reduce carbs by 30g per serving
• Choose reduced-fat cheese to lower saturated fat content
• Add extra vegetables like bell peppers and broccoli to increase fiber
• Portion into 1-cup servings (approximately 25g carbs per serving)

Pro Tips

• Reserve 1/2 cup pasta water before draining to thin sauce if needed
• Shred cheese fresh for better melting
• Let dish rest 5 minutes before serving to allow sauce to thicken