Prepare macaroni and cheese according to the package instructions.
To a large bowl add in the prepared macaroni and cheese, ham, cottage cheese, sour cream, and seasonings stir well. Grease a large casserole dish with non stick spray and place the macaroni cheese casserole mixture in there.
To a small bowl add in the breadcrumbs, Parmesan cheese, and butter stir well sprinkle on top of the casserole. Bake for 35 minutes. Enjoy!