Main Dish/ Pasta/ Recipe

Ham Tetrazzini

April 15, 2019 (Last Updated: October 19, 2020)

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Delicious Ham Tetrazzini is a scrumptious twist on a classic. Rich creamy sauce mixed with pasta, ham and mushrooms makes a delicious comfort meal for your family. This casserole dish is a great way to use up leftover ham from the holidays. 

Ham Tetrazzini on a small white plate

You’ve heard of chicken tetrazzini, right? Well this is ham tetrazzini. I’ve used ham instead of the chicken. This is a perfect dish to use up leftover ham.

Easter is next weekend and we will be eating a huge baked ham. I’m certain there will be leftovers and I’m already planning my week with leftover ham recipes. We will be eating this delicious tetrazzini again! Also on the weekly menu will be baked ham and cheese sandwiches, ham and scalloped potatoes and ham and cheese biscuits.  I wonder if I’m going to need a bigger ham!

It’s okay to actually plan for leftovers especially when it’s this delicious.

Ingredients needed for Ham Tetrazzini

Could I add additional vegetables to this dish?

You bet. This tetrazzini would be delicious with peas or asparagus.  For the peas, just add a cup of frozen peas right into the mixture when you add the mushrooms and ham. If adding asparagus, use steamed asparagus and cut into small pieces.  Gently fold the asparagus into the creamy mixture.

How do I make Tetrazzini?

  • Cook spaghetti
  • Saute mushrooms
  • Make a roux
  • Add milk and allow to thicken
  • Add chicken stock
  • Stir in mushrooms and ham
  • Add cooked spaghetti
  • Pour into a greased casserole dish
  • Top with Parmesan cheese
  • Bake until bubbly and golden
  • Let rest 10 minutes before serving

A roux in a pan for making tertazzini

How do I make a roux?

A roux is a butter and flour mixture that is used to thicken the sauce. To make the roux, melt butter in a pan. Stir in flour. Let mixture cook for 2-3 minutes over low heat. This helps remove any raw flour taste.

Unbaked Ham Tetrazzini topped with parmesan cheese

Can I make this ham casserole ahead of time?

Yes, this can be made ahead of time. Follow recipe as directed. Add to a casserole dish.  Allow dish to cool and then cover with plastic wrap and refrigerate. Remove from refrigerator at least 15 minutes prior to baking. Remove plastic wrap and bake as directed, increasing baking time by 15 minutes.

A forkful of Ham Tetrazzini


A few notes:

  • Use a hearty spaghetti. I used regular spaghetti noodles, not thin spaghetti or angel hair pasta. You could also use fettuccine noodles.
  • Don’t add salt until after you’ve added all the other ingredients. Some chicken stocks already have salt and the ham may is salty too. You might not need to add any salt at all.
  • When sauteing mushrooms, allow the mushrooms to brown. This browning adds extra flavor.
  • After sauteing the mushrooms, use the same pan for making the roux. Do not wipe pan out before making the roux. Just whisk all those brown bits right into your roux.
  • Be certain to spray your casserole dish prior to using. You don’t want anything to stick.
  • If your casserole dish is really full, place dish on a baking sheet before putting in the oven. If your casserole oozes over, the baking sheet will catch all the drips making cleanup easier. 

If you haven’t planned your Easter meal yet, check out this Easter Recipe collection. It has everything you need from breakfast to dessert!

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Yellow casserole dish filled with spaghetti noodles, ham and cheese.

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Ham Tetrazzini in a yellow casserole dish

Ham Tetrazzini

Ham Tetrazzini is a delicious twist on the classic chicken tetrazzini
4.89 from 18 votes
Prep Time 15 mins
Cook Time 45 mins
Resting Time 10 mins
Total Time 1 hr
Course Main Dish
Cuisine American
Servings 6 people
Calories 477 kcal


  • 8 oz spaghetti noodles
  • 2 cups ham (cubed)
  • 1 cup mushrooms (sliced)
  • 6 Tablespoons butter
  • 1/3 cup flour
  • 1 1/2 cups milk
  • 1 1/2 cups chicken stock
  • 1 pinch ground nutmeg
  • 1/4 teaspoon thyme
  • 1/4 teaspoon pepper
  • salt (to taste)
  • 1 Tablespoon sherry wine (optional)
  • 1/2 cup Parmesan (grated)


  • Cook Spaghetti noodles according to package directions. Drain and set aside.
  • Add 2 tablespoons butter to a saute pan. Add mushrooms. Cook until browned. Remove from pan. Do not wipe or rinse pan.
  • With same pan add 4 more tablespoons butter. When melted, add flour. Stir over medium low heat for 2-3 minutes.
  • Slowly add milk while whisking flour mixture. Continue whisking until mixture begins to thicken. 
  • Add chicken stock and combine.
  • Add nutmeg, thyme and pepper. Continue cooking over medium heat until mixture is heated through. 
  • Stir in sherry (if using) and add mushrooms and ham. 
  • Taste mixture. Add salt if needed.
  • Combine mixture with spaghetti noodles and then place into a lightly greased casserole dish.
  • Top with Parmesan cheese
  • Bake in a preheated 400 degree oven for 25-30 minutes until mixture is bubbly and top is golden. 
  • Remove from oven and let rest for 10 minutes before serving.


  • White wine can be used in place of the sherry wine or it can be omitted altogether.
  • To make ahead of time follow directions through placing in casserole dish. Allow to cool, then cover and refrigerate. When ready to bake, remove from the fridge at least 15 minutes prior to baking. Remove cover. Bake as directed adding up to 15 minutes of additional baking time.
  • May add frozen green peas or cut steamed asparagus to dish prior to baking, if desired.


Calories: 477kcalCarbohydrates: 39gProtein: 22gFat: 24gSaturated Fat: 12gCholesterol: 72mgSodium: 902mgPotassium: 427mgFiber: 1gSugar: 5gVitamin A: 515IUVitamin C: 0.3mgCalcium: 184mgIron: 1.5mg
Keyword Ham Casserole, Ham Tetrazzini, Leftover Ham Recipes, Tetrazzini
Tried this recipe?Leave a comment and let me know what you think.

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  • Reply
    Kristine S
    October 19, 2020 at 5:30 pm

    Used four small cloves of garlic, minced, and sautéed after mushrooms. Used a combination of Parmesan and gruyere for topping.
    Next time I will add some Dijon into the sauce to see how that tastes. My friends liked it. I think it will be better with more sauce and the Dijon. Thank you for a great recipe!

    • Reply
      October 19, 2020 at 5:57 pm

      A little dijon sounds like a great idea! 🙂

  • Reply
    September 20, 2020 at 12:15 pm

    5 stars
    Honestly, I was only looking for a recipe for leftover ham, seen this one that I had all the ingredients for and thought I would try it. Delicious! My family loved it. My only regret is that I didn’t double the recipe because now I have no leftovers.

    • Reply
      September 20, 2020 at 6:52 pm

      Hi Terri,
      Thanks for such a great comment! I’m glad your family loved it and now you’ll just have to make it again, doubled of course! 🙂

  • Reply
    Carol C
    June 8, 2020 at 7:18 pm

    5 stars
    This recipe was so easy to make. I had to use just a touch of cinnamon as I didn’t have anymore nutmeg (can’t believe I’m out of it).
    I couldn’t even taste the cinnamon. Anyway, the dish was wonderful. I will make it again and again. Thank you for sharing.

    • Reply
      June 8, 2020 at 7:32 pm

      Hi Carol,
      You were very clever to find a good substitution. So glad you loved the dish – it’s a favorite in our house too!

  • Reply
    Mary Jo
    April 13, 2020 at 5:20 am

    What size dish

    • Reply
      April 13, 2020 at 5:40 am

      A 9″ x 13″ dish works fine.

  • Reply
    March 27, 2020 at 9:07 pm

    5 stars
    Made tonight using ham leftover from previous night. Easy to follow directions. My family loved it. Unfortunately there isn’t enough remaining for leftovers. Will have make again soon. Easter ham around the corner. Thanks for great recipe!

    • Reply
      March 28, 2020 at 5:51 am

      So glad everyone loved it. It sounds like you’ll need to make a double batch next time! 🙂

  • Reply
    Robin L
    December 30, 2019 at 3:52 am

    5 stars
    Made this last night with leftover ham from Christmas. This was delish! Will definitely make again. Thank You!

    • Reply
      December 30, 2019 at 5:40 am

      Thanks, Robin! This is one we make often here and it’s a favorite with my family! 🙂

      • Reply
        March 20, 2020 at 2:50 pm

        5 stars
        This brought back wonderful memories of my Dad-he always made this dish and this is by far the closest to his recipe..loved it and so simple to follow!

        • Reply
          March 20, 2020 at 6:45 pm

          Thanks! Hope you enjoy!

  • Reply
    December 27, 2019 at 5:53 pm

    Making this for dinner tonight. Sounds so good. It’s in the oven. Is the cheese just for the top? Before or after baking?

    • Reply
      December 27, 2019 at 8:06 pm

      Hi Geri,
      I like to add the Parmesan cheese to the top just before placing in the oven. You could add it after baking too, if you prefer.
      Hope you love this as much as we do!

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