1. Preheat oven to 350°F. Layer a casserole dish (9x13) with the cocktail sausage.
2. Bring water to boil and add a pinch of salt and 1/2 teaspoon oil to avoid sticking. Once water has begun to boil and elbow macaroni. Cook 10 minutes or until macaroni noodles are enlarged and soft. Drain macaroni and place in casserole dish over cocktail sausage
3. Cube cheese and place in a saucepan with milk. Stir frequently to avoid burning mixture. When cheese is melted pour over the mixture in casserole dish. Salt and pepper to taste.
4. Place in oven and bake for 30 minutes or until liquid has been absorbed. To brown the top turn oven to broil and watch until the cheese starts to bubble and top begins to slightly brown. Remove from oven and let sit 5 minutes to thicken.