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Export 10 ingredients for grocery delivery
Add butter to a medium size pan and whisk in flour, salt and pepper. Cook for 2 to 3 minutes over medium heat, whisking continually.
Stir in milk, whisking until combined. Add cream cheese and stir until melted and sauce starts to thicken.
Stir in shredded cheese until melted and smooth.
Stir in cooked and drain macaroni and keep warm while you heat the brisket.
Chop or shred brisket and combine with barbecue sauce in a skillet over medium heat until heated through, about 8 - 10 minutes.
Spoon macaroni into serving bowls and top with barbecue brisket.
Top with green onions if desired.