Roasted beef patty topped with grilled onions and gravy with macaroni and cheese. No preservatives. The beef patty is an excellent source of protein. Real cheese. US inspected and passed by Department of Agriculture. Taste the Difference: Macaroni and cheese made with real cheddar cheese and Salisbury steak made with premium beef. Did You Know: Stouffer's offers great taste in over 90 delicious varieties with no preservatives. Since 1866.