Creating your own Creamy Hawaiian Macaroni Salad is straightforward. Just follow these easy steps:

1. Cook the Macaroni: Boil a pot of salted water. Add the elbow macaroni and cook according to the package instructions until al dente. Drain and rinse under cold water to cool.

2. Prepare the Dressing: In a large bowl, combine mayonnaise, sour cream, apple cider vinegar, and sugar. Mix until smooth and creamy.

3. Add Vegetables and Ham: Stir in the diced ham, pineapple, bell pepper, grated carrots, and green onions into the dressing. Mix well to combine.

4. Combine with Macaroni: Add the cooled macaroni to the bowl with the dressing mixture. Stir gently until the macaroni is fully coated.

5. Season: Add salt and pepper to taste. Adjust seasoning as needed.

6. Chill: Cover the bowl with plastic wrap and refrigerate for at least 1 hour to allow the flavors to meld.

7. Serve: Give the salad a good stir before serving.

These steps will help you create a delightful Creamy Hawaiian Macaroni Salad that everyone will love!