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Works fine if you read the instructions!
I bought this attachment with the intention of making boudain blanc, one of my husband's family favorites. I'd also ordered a box of Eastman Outdoors 38672 Natural Hog Casings, for 25-Pounds of Sausage from Amazon. (See my review on that product.) Together, they worked just fine.

The instructions are very clear about putting shortening on the outside of the stuffer tube. I liberally used Crisco when I put the attachment on the mixer and was able to stuff 10 casings, each about 4 feet long, without needing to reapply it. The 'trick' was holding the loose end of the casing with one hand and centering it while squinching (for lack of a better description) it on the tube, sometimes with a little twisting motion.

When it came to actually making the sausage it's important to note that this was definitely not a one-person operation. I operated the stuffer and grinder while my husband guided the stuffed casing to the counter, twisting into links as needed.

Do you really plan to use it?
To tell the truth we never used it in the last two years. I wish we would, but making sausage is not very easy, needs special skin and good recipe. And I'm sure there's not such good recipe anywhere on the internet than a real Hungarian sausage. Without being able to make the perfect one I don't even want to try...

Waste of time and money
As others have said, this cheap plastic stuffing attachment is more trouble than it's worth. After an hour of struggling with it I gave up and stuffed the sausage by hand.

The grinder tool worked great but I definitely don't recommend the stuffer. If it had cost more than the I paid for it I would have asked for my money back.

Easy to use and gret results
I was hesitant to buy this given some of the negative reviews but seeing as it's such a low cost accessory I decided to try it out. I've just finished making my first ever batch of homemade sausages and I have to say that this was the easiest and simplest to use accessory ever.

The only reason I gave 4 stars instead of 5 is due to the fact that some wastage occurs due to stuffing remaining in the tube and not in the casing. Not a big deal to resolve - I simply detatched the stuffer and pushed the remainder through with my fingers, but not exactly an elegant solution.

Slow and very difficult to prevent air inclusions
The combination of the long, narrow feed tube on the grinder and the plunger that is just slightly smaller than the feed tube, it was possible to push the meat into the grinder so it would feed into the casings. The difficult part was refilling the tube with the ground sausage without including pockets of air. I'd be very interested in how other folks got this item to work with any kind of efficiency... my 5# of sausage probably took us between 60 and 90 minutes to stuff. This was long enough to make it difficult to keep the meat cold during the process. We managed, but I'll be looking for another stuffing alternative. On a side note, I can't exactly ding KitchenAid for the design of the grinder (long, narrow tube) since it is how they prevent fingers from getting caught in the impeller (a safety feature I consider worth the inconvenience).