The appetizers I've had here were good, but not amazing. On the pizza, however, they really do an excellent job. It's all medium hand tossed crust which is quite good. I've heard (but haven't confirmed) they use ingredients from the Clifton Natural Foods, which is across the street. They have a very wide range of toppings, including some good goat cheese and "gourmet vegan mozzarella" (The pizzas I actually took pictures of were more straightforward). Regardless of where they get them, in my experience the topping have been high quality and plentiful. There's not much bad I can say, it really is a great pizza.
Sausage & Mushroom (Delicious & Healthy):
Mac's is one of the 20 Best Pizzas of Cincinnati