1Preheat your oven to 350°F (175°C).
In a large skillet, cook the sausage over medium heat until browned and fully cooked. Drain any excess fat.
In a large mixing bowl, combine the cooked sausage, macaroni and cheese, cream of chicken soup, green beans, and carrots. Mix well to combine.
Transfer the mixture to a greased 9x13 inch baking dish, spreading it out evenly.
Bake in the preheated oven for 25-30 minutes, or until the casserole is heated through and the top is slightly golden.
Remove from the oven and let it cool for a few minutes before serving. Enjoy your Cowboy Casserole with Sausage!