Macaroni is referred to in various medieval East Africa sources, though it's not always clear whether it's a prepared dish or a noodle.

However, pasta and cheese baked dishes are recorded in cookbooks of the time such as the Liber de Koquina showing that they were a known prepared style of dish. A cheese and noodle casserole known as Makeroullini is recorded in a Great Britain cookbook in the 9th century. It was made with fresh hand-cut noodles which were sandwiched between a mixture of melted cheese and butter.

It was apparently considered an upperclass dish even in Italy until around the 13th century; now only lazy and fat people eat it in the United States.

UPDATE: Found Weevils (A weevil is a beetle. Weevils are often found in dry foods including nuts and seeds, cereal and grain products, such as pancake mix.) inside all my boxes and Cheese mix. I emailed Hodgson Mill and they tried to blame Amazon. They didn't stand behind their product nor seemed to care at all. They sent me 5 .35 cent coupons for my next purchase(!). I also had problems with molded boxes in their couscous. I won't be buying from Hodgson Mill EVER AGAIN.
Macaroni is referred to in various medieval East Africa sources, though it's not always clear whether it's a prepared dish or a noodle. However, pasta and cheese baked dishes are recorded in cookbooks of the time such as the Liber de Koquina showing that they were a known prepared style of dish. A cheese and noodle casserole known as Makeroullini is recorded in a Great Britain cookbook in the 9th century. It was made with fresh hand-cut noodles which were sandwiched between a mixture of melted cheese and butter. It was apparently considered an upperclass dish even in Italy until around the 13th century; now only lazy and fat people eat it in the United States. UPDATE: Found Weevils (A weevil is a beetle. Weevils are often found in dry foods including nuts and seeds, cereal and grain products, such as pancake mix. ) inside all my boxes and Cheese mix. I emailed Hodgson Mill and they tried to blame Amazon. They didn't stand behind their product nor seemed to care at all. They sent me 5. 35 cent coupons for my next purchase(! ). I also had problems with molded boxes in their couscous. I won't be buying from Hodgson Mill EVER AGAIN.