How to Make Turkey Tetrazzini

Turkey tetrazzini is a baked pasta casserole of leftover turkey, noodles, and a creamy mushroom sauce. It is one of the better next-day uses for cooked turkey when you are tired of slices and gravy. Use leftovers that were refrigerated promptly, and reheat the finished casserole to 165°F. See the Thanksgiving guide, Thanksgiving mains, diets and leftovers, how long Thanksgiving leftovers last, and how to reheat leftover turkey.

A large bowl of cooked noodles, chopped leftover turkey, and a creamy mushroom sauce being mixed with a spoon
Fold leftover turkey and cooked noodles into a creamy mushroom sauce before you bake the casserole.

Make a creamy sauce and fold in the turkey

Cook about 12 ounces of egg noodles or spaghetti until just shy of tender, then drain. In a skillet, sauté sliced mushrooms and a little onion in butter, sprinkle with flour, and whisk in 2 to 3 cups of milk or turkey stock until the sauce thickens. Season with salt, pepper, and a pinch of nutmeg if you like. Off the heat, stir in a splash of cream or a handful of Parmesan, then fold in 3 to 4 cups of chopped leftover turkey and the noodles. This is a different dish from leftover stuffing or a leftover turkey sandwich.

Bake until bubbling, then store safely

Spread the mixture in a greased 9-by-13-inch baking dish, top with a little more cheese or buttered crumbs, and bake at 350°F for about 25 to 35 minutes, until it is bubbling and the top is golden. USDA leftover guidance is to use cooked turkey within 3 to 4 days, refrigerate it within 2 hours of the first meal, and reheat leftovers to 165°F. Related: turkey pot pie with leftovers and turkey noodle soup.

A golden baked turkey tetrazzini in a rectangular casserole dish, with a spoonful already served to show the creamy noodles and turkey
Bake until the casserole is bubbling and the top is golden, then confirm leftovers are steaming hot.

Swaps if you are short on an ingredient

If you do not have mushrooms, a sauce made with leftover gravy and a little extra milk still works, as long as the gravy was refrigerated safely. Cooked spaghetti, linguine, or even leftover plain noodles can stand in for egg noodles. A handful of frozen peas stirred in before baking adds color. If you are short on turkey, mix in a little leftover ham, but keep the same 165°F reheating rule. The casserole can sit at room temperature only as long as other leftovers: 2 hours, then it goes back in the refrigerator. Reheat individual servings until they are steaming hot all the way through.

Frequently asked questions

Can I make turkey tetrazzini with leftover turkey?

Yes. That is the usual reason to make it. Use turkey that was refrigerated within 2 hours and is still within 3 to 4 days of the original meal.

Can I assemble turkey tetrazzini ahead?

You can assemble it, cover it, and refrigerate it for up to a day before baking. Add a few minutes to the bake time if it goes into the oven cold, and heat it to 165°F.

Can I freeze turkey tetrazzini?

Yes. Cool it, wrap it well, and freeze it for best quality within 2 to 3 months. Thaw it in the refrigerator, then reheat to 165°F.

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