7 oz. pkg. Creamettes
10 3/4 oz. can of mushroom soup
2/3 c. milk
1 c. shredded cheddar cheese
1/2 tsp. celery salt
1 tsp. Worcestershire sauce
6 3/4 can tender chunk ham (flaked)
chopped pepper (optional)

Prepare Creamettes according to package directions; drain. Heat together soup, milk, cheese, celery salt and Worcestershire sauce. Add ham. Add mixture to cooked macaroni. Pour to greased 5 quart baking dish. Bake in preheated 350 degrees oven for 45 minutes.