1. Preheat oven to 375 degrees F. 2. Bring a medium saucepan of lightly salted water to a boil.Add shell macaroni and,cook for 8 minutes,or until tender.Drain and set aside. 3. Place ground turkey,carrots and red onion in a large skillet.Cook over medium-high heat until browned.Drain grease,and return skillet to heat. 4. Stir in the cooked shell macaroni,sliced italian sausages,seasoned pepper,cubed cream cheese and alfredo sauce. 5. Heat through,and pour into a 9x9 inch baking dish.Sprinkle with swiss and parmesan cheese and lay slices of american cheese over the top. 6. Bake the casserole uncovered,for 30 minutes. ---------------------------------------------------------------------------
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Ingredients