Macaroni and Cheese

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1 cup heavy cream

1 cup milk

2 cups grated Cheddar

1/2 teaspoon cayenne pepper

1/4 teaspoon grated nutmeg

Salt and pepper

1 pound elbow macaroni, cooked and strained, tossed with 2 tablespoons unsalted butter

1/2 cup fresh bread crumbs

2 ounces butter, diced into small pieces