Make the pumpkin Mac & cheese. Set aside. If using leftovers you already had, skip this step.
Butter one side of each piece of bread. Sprinkle some pieces of fresh sage on top of each buttered side of bread and press down lightly.
Preheat a frying pan to low-medium heat. Add two slices of bread, buttered side down and add 1 slice of cheese to each. Using a spoon, add a few spoonfuls of Mac & cheese to each. Add another slice of cheese on top, and the remaining bread. Cook until golden on both sides. Low & slow is the best course of action here. Low(ish) heat so it doesn’t burn before the cheese melts.
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