[1] In the early 19th century, macaroni soup was one of the most common dishes in Italian inns.

[3] Due to its inexpensive nature, it is often part of the menu in institutions such as schools, hospitals and prisons.

[6] The dish was served as part of the menu for students in Memorial Hall, Harvard, in 1882,[7] where their food was described as looking better than it tastes.

It is regarded as a comfort food and commonly served during cold days or to sick people.

[10] In Indonesia, macaroni soup is an easy dish often served for children and during sahur meals in Ramadan.