The best replacement for macaroni is pasta.

The best alternatives to macaroni are rated as following:
★★★★★  pasta
★★  spaghetti
★★  penne
★  macaronis
★  cooked macaroni
  uncooked
  elbow

Your alternative for macaroni is not listed? Suggest!
Speaking about macaroni, one probably shouldn't forget about velveeta cheese.

Other search terms related to macaroni and their ratings are:
★★★★★ velveeta cheese
You have in mind a companion for macaroni and it is not yet here? Propose!



Google Trends

Scale is based on the average worldwide traffic of macaroni in all years. Click on graph for more.
macaroni
pasta
spaghetti