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Preheat oven to 400°
Cook and drain macaroni
Brown sausage. Add onion and green pepper, cook until done.
Add flour, salt, and pepper. Stir and cook on low/medium heat for 1-2 minutes.
Slowly add milk, stirring well, then add cheese. Cook until cheese is melted and saucy.
Combine sauce and macaroni then pour into casserole dish sprayed with cooking spray.
Bake for 25 minutes.