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Alfredo and pesto sauce on plate of vegetable topped pasta milano

Macaroni Grill Pasta Milano

With a combination of Alfredo and pesto in the pasta sauce that’s loaded with mushrooms, spinach and Roma tomatoes this copycat Macaroni Grill Pasta Milano makes a delicious dinner!
Course Main Course
Cuisine Italian
Keyword Macaroni Grill Pasta Milano
Prep Time 10 minutes
Cook Time 15 minutes
Total Time 25 minutes
Servings 6 people
Calories 631kcal
Author Jennifer @ Plowing Through Life



  • 16 ounces farfalle pasta
  • 3 tablespoons butter
  • 1 small red onion diced
  • 4 ounces mushrooms sliced
  • 2 cloves garlic minced
  • 6 roma tomatoes cut in chunks
  • 8 ounces spinach
  • 16 ounces roasted garlic alfredo sauce
  • 6 ounces pesto
  • 1/3 cup parmesan cheese


  • In a large skillet melt butter over medium heat and saute onion, mushrooms and garlic until tender.
  • Add tomatoes for 2 minutes and then add spinach. Cook together until spinach is wilted.
  • While cooking boil pasta until al dente using the directions on the package.
  • Add alfredo sauce to skillet and mix it well. Add pesto. Mix well. Sprinkle parmesan cheese on top and heat through thouroughly.
  • Add drained pasts to skillet stir and serve OR pour sauce and vegetables over top of plated pasta.


  • Farfalle pasta is also known as bowtie pasta
  • Shells can be substituted for farfalle pasta
  • I prefer to use the fresher refrigerated alfredo and pesto instead of the jars
  • Wash and dry spinach well and if there's excess liquid in the tomatoes drain some before adding to the skillet to avoid a soupy texture
  • It is important to use fresh mushrooms, spinach, garlic and tomatoes for the best flavor profile possible in this meal
  • Chicken or Italian sausage can be added to this meal if desired, as big meat eaters we still really enjoyed this as a vegetarian meal that is very filling


Calories: 631kcal | Carbohydrates: 68g | Protein: 18g | Fat: 32g | Saturated Fat: 13g | Cholesterol: 71mg | Sodium: 951mg | Potassium: 613mg | Fiber: 5g | Sugar: 7g | Vitamin A: 4851IU | Vitamin C: 21mg | Calcium: 179mg | Iron: 3mg