Restless Chipotle

  • About
  • Recipes
  • Videos
  • Subscribe
  • Shop
  • Recipe Box
menu icon
go to homepage
  • About
  • Recipes
  • Videos
  • Subscribe
  • Shop
  • Recipe Box
subscribe
search icon
Homepage link
  • About
  • Recipes
  • Videos
  • Subscribe
  • Shop
  • Recipe Box
×
Home » Recipes » Pork, Sausage, Other Meats

Ham Tetrazzini

Published: Dec 25, 2022 · Updated: Feb 29, 2024 by Marye

Ham tetrazzini recipe is a hearty family meal that's easy to get on the table. Great way to use leftover ham!
Total time for the recipe to be finished.Total Time 45 minutes minutes
Jump to Recipe Pin Recipe
Close up of the crunchy topping on the casserole.
A serving spoon of ham tetrazzini with text overlay for Pinterest.

This is the perfect way to use that honey baked ham that's leftover from holiday dinners.

Don't want to scroll through the page to get to the recipe? Use the table of contents to click on the section you want to go to.

A serving of ham tetrazzini being lifted from the dish.
Table of Contents
  • ❤️ Why you'll love it
  • 🧾 Ingredients
  • 🔪 Instructions
  • 🥫 Storage
  • 📖 Variations
  • 💭 Things to know
  • 👩‍🍳 FAQs
  • 📚 Related recipes
  • 🍽️ Serve with...
  • 📞 The last word
  • 📖 Recipe
  • 💬 Comments

❤️ Why you'll love it

  • A cozy dinner recipe that's been a favorite for generations
  • An ideal blend of savory flavors with crisp and creamy textures
  • Great way to enjoy leftover holiday ham

This ham tetrazzini recipe is the perfect dish to serve when you need a hearty meal but don't have much energy left to cook.

Or, after the holidays when you have a ton of leftover baked ham.

The creamy pasta is mixed with tender ham and topped with crispy onions for a quick family meal that tastes like a celebratory family feast!

Next time you're in the mood for pasta check out this easy taco spaghetti.

🧾 Ingredients

This is an overview of the ingredients. You'll find the full measurements and instructions in the green recipe card (printable) at the bottom of the page.

Ingredients for this recipe.

🔪 Instructions

This is an overview of the instructions. Full instructions are in the green recipe card at the bottom of the page.

Collage of images showing how to make ham tetrazzini.
  1. Melt butter in a large skillet and saute onion and garlic. Add the soup, cream cheese, evaporated milk, and one cup of cheese.
  2. Stir in ham cubes and pimentoes. Then, add cooked and drained pasta.
  3. Spoon the mixture into a greased casserole dish. Bake, covered.
  4. Top with remaining cheese and onions. Bake again until cheese melts.

🥫 Storage

There's nothing as satisfying as a delicious ham tetrazzini—except for when you get to enjoy the leftovers all over again!

Once the baking dish has cooled down, cover it tightly with plastic wrap or spoon the leftovers into an airtight container. They'll last in the refrigerator for a few days.

Leftover cooked ham, by itself, has a storage "shelf life" of up to five days. Recooking the ham doesn't reset that amount of time. So, keep in mind that if you use leftover ham in the tetrazzini, your casserole leftovers will only keep for as many days as the ham has left.

To reheat the classic comfort food dish, bake it, covered, at 350 degrees F, or warm it up in the microwave until it meets your liking. You could heat it on top of the stove over medium heat, but the crunchy onions will lose their crispiness.

A casserole dish with the tetrazzini in it.

📖 Variations

Ham tetrazzini is a variation of the traditional version, chicken tetrazzini. So, feel free to use cooked or shredded chicken in place of the ham, if you'd like.

Here are some additional ways you can vary the recipe to fit your preferences:

  • Make a turkey tetrazzini by swapping the ham with leftover Thanksgiving poultry or cooked ground meat.
  • Use whatever type of pasta you prefer. However, thicker shapes (spaghetti, linguine, elbows, penne) work better than thin (angel hair.)
  • You can swap the cream of chicken soup or cream of mushroom soup with chicken or mushroom gravy if you have some leftover. Or, make a homemade version of either soup, if you prefer.
  • Ham and cheddar are a classic pairing, but you can experiment with other flavors. Some tetrazzini recipes recommend Swiss cheese.
  • Saute mushrooms in the pan with the onions and garlic if you want to add some more texture and flavor to the dish.
  • Can't find pimentoes? You can use chopped roasted red peppers instead, or dice up a small green bell pepper for slightly different flavor.
  • Toss in a bag of frozen peas, broccoli, or chopped asparagus to make the meal stretch—and sneak in some extra veggies!
  • Add a splash of white wine or dry sherry to the cheesy sauce.
  • Instead of the crispy onion topping, you can use a blend of grated parmesan cheese and fresh bread crumbs.
  • If I have other herbs in the fridge I'll swap those in or add them to the parsley. Fresh thyme and sage go great with creamy ham tetrazzini!

💭 Things to know

Expert Tip: If you don't have any leftover Easter ham (or Christmas, or...), use a precooked ham steak. You can also buy deli-meat ham from the grocery store—just ask them to cut a few slices, each about a half-inch thick.

  • Don't overcook the pasta or it'll be mushy after baking. The noodles will absorb a little moisture from the creamy cheese sauce while in the oven.
  • Let the onions and garlic get nice and browned—but not burnt. If you have time, you can let them caramelize. That'll give extra deep flavor to the rich, creamy sauce.
  • If your casserole dish is very full, place it on a baking sheet before putting it in the oven. It's easier to transport, and will also help catch any drips if your casserole gets too bubbly while cooking!
  • Coat the underside of the aluminum foil with non-stick cooking spray to prevent it from sticking to the cheese when reheating the casserole.
  • You can make the ham tetrazzini a day or two in advance, refrigerating in the meantime. Assemble it as written and cover tightly, but leave off the onions and cheese topping. Before putting it in the oven, be sure to let it sit at room temperature for a bit. Cold glass in a piping-hot oven has a tendency to crack!

👩‍🍳 FAQs

How long do I cook the pasta?

Depending on the brand and shape of pasta you pick, the cooking time will vary slightly. Follow the package directions to achieve perfectly al dente noodles!

Are pimentoes and pimientos the same thing?

Yep! There are some differing opinions out there as to the proper spelling. However, "pimento" and "pimiento" generally both refer to a small red pepper (known as a cherry pepper) that has been chopped and pickled.

Can I use whole milk instead of evaporated?

That'll work if you need to. While whole milk won't give your ham tetrazzini as thick and luscious of a finishing sauce, it won't be the end of the world, either. You could also try using sour cream if you're looking for an alternative.

A plateful of the ham casserole.

📚 Related recipes

  • Cream Cheese Pasta is a super-fast weeknight dinner that uses simple ingredients. Add some leftover meat or a can of veg and dinner's done!
  • Pepper Jack cheese and cornbread crumbs give this classic dish a fun, flavorful upgrade—try Chicken Tetrazzini Southwestern Style ASAP!
  • Another one of my favorite leftover ham recipes, Slow Cooker Scalloped Potatoes and Ham is creamy, cheesy, and—best of all—easy, too!
  • An iron skillet filled with the finished Alfredo Chicken Ravioli.
    Chicken Alfredo Ravioli
  • Bacon Pimento Mac and Cheese on a plate.
    Bacon Pimento Mac & Cheese
  • Homemade pasta being rolled by machine.
    Best Homemade Pasta Dough Recipe...Ever
  • Overhead view of sausage Alfredo skillet dinner in a cast iron skillet.
    Creamy Sausage Alfredo Skillet

🍽️ Serve with...

  • Broccoli Cauliflower Salad
  • Old-Fashioned Buttery Rolls
  • Pecan Cranberry Cookies

Here are 70 side dish ideas for ziti that also work great with tetrazzini!

📞 The last word

If you click on the number of servings in the recipe card you can adjust the measurements up or down for the exact number of servings you need. Don't forget that you can click on "add to collection" to save it to your own, private recipe box!

If you love this recipe please give it 5 stars! ⭐️⭐️⭐️⭐️⭐️

📖 Recipe

Close up of the crunchy topping on the casserole.

Ham Tetrazzini

4.60 from 5 votes
Print Pin Recipe Save Recipe Saved! Rate Recipe
Prevent your screen from going dark
Ham tetrazzini recipe is a hearty family meal that's easy to get on the table. Great way to use leftover ham!
Course Main Dish (Quick and Easy)
Cuisine American - Vintage
Prep Time: 5 minutes minutes
Cook Time: 40 minutes minutes
Total Time: 45 minutes minutes
Servings:8
Calories:610
Author:Marye Audet-White

Ingredients

  • 16 ounces spaghetti, broken in thirds
  • 3 tablespoons butter
  • 1 cup yellow onion, chopped
  • 2 cloves garlic, minced
  • 10.75 ounces cream of chicken soup
  • 10.75 ounces cream of mushroom soup
  • 4 ounces cream cheese, cut in cubes
  • 12 ounces evaporated milk
  • 1 cup Cheddar cheese, shredded
  • ½ cup Mozzarella cheese, shredded
  • 2 cups ham, diced
  • 2 ounces pimentoes, . drained
  • ½ cup French fried onions
  • 3 tablespoons fresh parsley, chopped

Instructions

  • Preheat oven to 350F.
  • Grease a 2 quart casserole dish.
  • Mix the Cheddar and Mozzarella and set aside.
  • Cook the spaghetti according to package directions.
  • Drain and set aside.
  • Melt butter in a heavy saucepan over medium heat.
  • Saute the onion until it begins to soften, then add the garlic.
  • Cook about a minute stirring often, or until garlic is soft. Don’t let it scorch!
  • Whisk in cream of chicken soup, cream cheese, milk, and 1 cup of the cheese mixture.
  • Heat, stirring constantly until the cheese melts.
  • Add the ham and pimentos.
  • Stir in the spaghetti.
  • Spoon into the prepared casserole dish.
  • Cover with aluminum foil and bake for 20 minutes.
  • Uncover, sprinkle with remaining cheese mixture and fried onions.
  • Bake for 5 to 10 more minutes, or until cheese is melted.
  • Sprinkle with parsley before serving.

Notes

Storage:
Once the baking dish has cooled down, cover it tightly with plastic wrap or spoon the leftovers into an airtight container. They'll last in the refrigerator for a few days.
Leftover cooked ham, by itself, has a storage "shelf life" of up to five days. Recooking the ham doesn't reset that amount of time. So, keep in mind that if you use leftover ham in the tetrazzini, your casserole leftovers will only keep for as many days as the ham has left.
To reheat:
To reheat the classic comfort food dish, bake it, covered, at 350 degrees F, or warm it up in the microwave until it meets your liking. You could heat it on top of the stove over medium heat, but the crunchy onions will lose their crispiness.
Tips:
  • If you don't have any leftover ham use a precooked ham steak. You can also buy deli-meat ham from the grocery store—just ask them to cut a few slices, each about a half-inch thick.
  • Don't overcook the pasta or it'll be mushy after baking. The noodles will absorb a little moisture from the creamy cheese sauce while in the oven.
  • Let the onions and garlic get nice and browned—but not burnt. If you have time, you can let them caramelize. That'll give extra deep flavor to the rich, creamy sauce.
  • If your casserole dish is very full, place it on a baking sheet before putting it in the oven. It's easier to transport, and will also help catch any drips if your casserole gets too bubbly while cooking!
  • Coat the underside of the aluminum foil with non-stick cooking spray to prevent it from sticking to the cheese when reheating the casserole.
  • You can make the ham tetrazzini a day or two in advance, refrigerating in the meantime. Assemble it as written and cover tightly, but leave off the onions and cheese topping. Before putting it in the oven, be sure to let it sit at room temperature for about 30 minutes. Cold glass in a piping-hot oven has a tendency to crack!

Nutrition Facts

Calories: 610kcal | Carbohydrates: 57g | Protein: 27g | Fat: 30g | Saturated Fat: 15g | Polyunsaturated Fat: 2g | Monounsaturated Fat: 9g | Trans Fat: 0.2g | Cholesterol: 84mg | Sodium: 1248mg | Potassium: 512mg | Fiber: 2g | Sugar: 8g | Vitamin A: 996IU | Vitamin C: 12mg | Calcium: 291mg | Iron: 2mg

Nutrition information is estimated as a courtesy. If using for medical purposes, please verify information using your own nutritional calculator. Percent Daily Values are based on a 2000 calorie diet.

This recipe has been tested several times. If you choose to use other ingredients, or change the technique in some way, the results may not be the same.

More Perfect Pasta

  • Overhead view of a bowl of pasta salad.
    Texas Pasta Salad
  • Square image of the finished lasagna for the feature image.
    Chicken Alfredo Lasagna
  • Closeup of pasta salad.
    Italian Pasta Salad
  • Closeup overhead view of the macaroni salad in a bowl with a spoon in it for serving.
    BBQ Macaroni Salad Texas Style

Love it? Share it!

402 shares
  • Facebook
  • Flipboard

About Marye

Meet Marye Audet, a wizard in the kitchen and a storyteller at heart. Marye is like your eccentric but fun aunt who knows all the secret recipes and isn't afraid to spill them.

Comments

No Comments

4.60 from 5 votes (5 ratings without comment)

Leave a Reply Cancel reply

Your email address will not be published. Required fields are marked *

Love it? Give it 5 stars!




Marye Audet-White, founder of Restless Chipotle Media

Hey Y'all, I'm Marye

Welcome to my kitchen! ☕

NY Times bestselling author. 10 cookbooks. Mom of 8 kids. Homeschooling mom for 22 years. Addicted to Hallmark Christmas Movies. Collector of old cookbooks.

Find out more

🍉 Summer Cookouts

  • Overhead view of potato salad in a glass bowl
    Mom's Homemade Potato Salad
  • Overhead view of the finished watermelon basket filled with an assortment of fruit.
    How to Make a Watermelon Basket
  • Closeup of a finished hamburger in a bun.
    Retro Lipton Onion Soup Burger (Vintage Recipe)
  • Closeup of a star shaped cake covered in white chocolate with red and blue sprinkles.
    Zebra Cake Recipe: Little Debbie Copycat

🫖 Picklefork Stories

Picklefork town crest.
Click here to visit Picklefork

👑 Reader Favorites

  • Square overhead of chicken for feature image.
    Crockpot Angel Chicken
  • Close up of the sauce showing the creamy texture.
    Copycat Red Robin Campfire Sauce Recipe
  • Wooden spatula removing fried potatoes out of iron skillet.
    Crispy Fried Potatoes in a Cast Iron Skillet (Southern Style)
  • Blue cocktail with a red and white straw.
    Sex in the Driveway Cocktail
  • A sliced loaf of english muffin bread.
    Easy English Muffin Bread – No Knead, Perfect for Toasting!
  • Two finished loaves of Amish white bread cooling on a table.
    No-Fail Amish White Bread

Footer

^ back to top

About

  • About Marye Audet-White
  • Privacy Policy
  • Terms & Conditions
  • Accessibility Policy
  • Contact
MaryeAudet Whiteandherchildren Dec

Featured In:

Places Restless Chipotle has been featured

We improve our products and advertising by using Microsoft Clarity to see how you use our website. By using our site, you agree that we and Microsoft can collect and use this data. Our privacy statement has more details.

Copyright ©2006 - 2025 Restless Chipotle Media, LLC

Picklefork Tales Copyright ©2025 Marye Audet, Restless Chipotle Media

Rate This Recipe

Your vote:




Let us know what you thought of this recipe:

This worked exactly as written, thanks!
My family loved this!
Thank you for sharing this recipe

Or write in your own words:

A rating is required
A name is required
An email is required

Recipe Ratings without Comment

Something went wrong. Please try again.