Preheat oven to 350 degrees. Lightly spray a 9×13-inch pan with cooking spray. Set aside.
Cook egg noodles according to package directions and drain.
In a large skillet, cook ground beef until no longer pink. Drain fat.
In a large bowl, combine tomato soup, cream of mushroom, milk, salt, pepper, Worcestershire, garlic and onion flakes. Stir in cooked ground beef and cooked noodles.
Spread noodle mixture into prepared pan. Top with grated parmesan cheese.
Notes
**IF FREEZING FOR LATER – Cover with foil and freeze at this point. When ready to cook, thaw in the fridge for 24 hours and bake according to directions.**