The box contains dry pasta and dry cheese flavoring. You have to add milk and butter.
Most people seem to mix that crap in cold and end up with dry, pasty mush.
Many American staples are throwbacks to the depression era, where buying a flat of Campbell's soup was a safer bet than buying a bunch of tomatoes and cream. Since then, marketers have capitalized on that sense of consistency, as well as feelings of nostalgia, to ingrain that sort of food into the American psyche.