Spicy Italian sausage, fire roasted red peppers and onions with rigatini pasta tossed in a spicy tomato sauce with red wine, herbs and olive oil. Complete meal for 2. 100% natural ingredients. US inspected and passed by Department of Agriculture. Romano's Macaroni Grill is inspired by the Mediterranean cooking style along Italy's coast. We believe that everyone should be able to enjoy a freshly made, delicious meal and feel good afterward, just like they do every day along the Italian Mediterranean. Stay in and go all out! Exchanges: 3 starch, 1 vegetable, 2 high fat meat. Carbohydrate choices: 3. Based on American Dietetic Association and American Diabetes Association criteria.