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
4.9 from 19 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
    Candace Brickerson
    December 1, 2019 at 3:41 pm

    5 stars
    Easy and delicious…..had a houseful after Thanksgiving and this was perfect with leftover ham!!!!

    • Reply
      December 1, 2019 at 5:49 pm

      There’s nothing better than feeding a hungry crew with an easy and delicious dish!
      Thank you!

      • Reply
        December 1, 2019 at 5:50 pm

        Hi Katy – Glad you loved this! Thanks for leaving a comment!

  • Reply
    December 1, 2019 at 8:09 am

    5 stars
    I made this last week and my family loved it! They are already asking me to make it again. This recipe is a keeper!!!

  • Reply
    November 24, 2019 at 3:24 pm

    3 stars
    I followed the recipe exactly including the sherry and added the optional peas. We found it pretty bland and added salt and pepper. Edible but probably won’t make it again.

    • Reply
      November 24, 2019 at 4:04 pm

      Hi Cindy,
      I’m sorry this recipe didn’t meet your flavor needs. Thanks for giving it a try and leaving a review. I appreciate the feedback.

  • Reply
    Fred G
    April 16, 2019 at 7:54 am

    5 stars
    Great combo of ingridinets.

  • Reply
    Alexandra @ It's Not Complicated Recipes
    April 16, 2019 at 12:13 am

    5 stars
    What a great idea to use up leftover ham! I still have plenty in the freezer! I will be making this soon 🙂 Sounds so delicious!

  • Reply
    Stacey @ The Sugar Coated Cottage
    April 15, 2019 at 6:59 am

    This is total comfort food! I love the addition of sherry wine or white wine, great compliment. 🙂 Take care.

  • Reply
    [email protected]
    April 15, 2019 at 6:51 am

    5 stars
    Tetrazzini always reminds me of a line from one of my favorite movies…Cousins. I need to make this!! It sounds and looks delicious!!

  • Reply
    Dawn - Girl Heart Food
    April 15, 2019 at 6:21 am

    5 stars
    If this doesn’t scream ‘comfort food’ I don’t know what does! This looks unbelievably yummy, Kathy! It wouldn’t last long in our home, that’s for sure 🙂

  • Reply
    Mary Ann | The Beach House Kitchen
    April 15, 2019 at 6:01 am

    5 stars
    What a great idea Kathy! We would LOVE this! Always looking for new ways to use up the holiday ham!

    • Reply
      April 15, 2019 at 6:16 am

      Finding a variety of recipes to use up leftovers is always a challenge. This is a winner in our house.

  • Reply
    David @ Spiced
    April 15, 2019 at 5:07 am

    5 stars
    I’ve actually made a turkey tetrazzini after Thanksgiving (a number of years ago), but I’ve never thought about mixing it up and using ham. This is perfect! Laura and I were just talking this morning about getting a ham this week…mainly for delicious ham sammiches. 🙂 But I might have to steal some of that ham to make this tetrazzini. It looks delicious!!

    • Reply
      April 15, 2019 at 5:27 am

      Thanks, David! Planning for the leftovers is half the fun!

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