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Prepare the boxed mac and cheese according to package directions.
Meanwhile, brown the ground beef or sausage in a large skillet or Dutch oven over medium-high heat until the meat is no longer pink, about 5-7 minutes. Drain off excess grease. Stir in the tomatoes and green chilies.
Add the prepared mac and cheese to the skillet with the beef and tomatoes. Stir to combine.
Serve and garnish with optional toppings.