Recipe: Macaroni a la Creme

Boil one-quarter of a pound of MACARONI in plenty of hot water, salted, until tender; put half a pint of milk in a double boiler, and when it boils stir into it a mixture of two tablespoonfuls of butter and one of flour. Add two tablespoonfuls of cream, a little white and cayenne pepper; salt to taste, and from one-quarter to one-half a pound of grated cheese, according to taste. Drain and dish the MACARONI; pour the boiling Sauce over it and serve immediately.

The Whitehouse Cookbook, by Mrs. F.L. Gillette (Year 1887)