Ingredient:

• 1 pound uncooked elbow macaroni
• 1/4 cup butter
• 8 ounces bulk Italian sausage
• 3 garlic cloves, minced
• 1/4 cup all-purpose flour
• 3 cups whole milk
• 1-1/2 cups shredded mild cheddar cheese
• 1 cup shredded Monterey Jack cheese
• 4 ounces cream cheese
• 1 teaspoon salt
• 1/2 teaspoon pepper