2, Caramel Macchiato is in the rich hot milk with espresso, vanilla, and then drizzled with pure caramel and made of drinks, a blend of three different flavors. Macchiato Italian, meaning "branded" and "stained", Chinese phonetic translation "Macchiato". Macchiato is an Italian word meaning "branding" and "imprinting", which translates to "macchiato" in Chinese. "Caramel" means caramel. Caramel macchiato, meaning "sweet mark".