The first Macado's restaurant was opened in 1978 by Richard Macher in downtown Roanoke, Virginia. It soon became popular for its eclectic ambiance of cartoon, antique, and local nostalgic decor, as well as its wide array of hearty yet modestly-priced sandwiches, subs, and entrees.

The already-lengthy menu has been changed and expanded over the years, and several events have grown in popularity, such as the Macado's Annual St. Patrick's Day Party and the Macado's Halloween Party. Loyal customers have made Macado's part of their own traditions as well!