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From Italianmaccaroni, obsolete variant of maccheroni(“macaroni”), plural of maccherone. This is of unknown origin, possibly from maccare(“bruise, batter, crush”), which itself is of unknown origin, or from late Ancient Greekμακαρία(makaría, “food made from barley”).
Compare Sicilianmaccarruni(“a single piece of macaroni”).
"I can recommend this macaroni, for it is my favourite dish: I am very national. You will not take any? Ah, young ladies are, or ought to be, light eaters. Your ladyship will, I trust, set your fair companion an example."
Delicate lace ruffles fell over the lean yellow hands that were so overladen with rings. He had been a macaroni of the eighteenth century, and the friend, in his youth, of Lord Ferrars.
1777, Charlotte Mason, The lady's assistant for regulating and supplying her table: being a complete system of cookery, containing one hundred and fifty select bills of fare, properly disposed for family dinners ... with upwards of fifty bills of fare for suppers ... and several desserts: including likewise, the fullest and choicest receipts of various kinds ... (cooking), page 300:
Macaroni. It comes from Italy. It is a biscuit made of almonds, eggs, flower, and sugar.