Preheat oven to 350 degrees. Spray a 9 x 13 inch baking dish with non-stick cooking spray and set aside.
Prepare noodles according to package directions.
In the meantime, brown beef in a skillet and drain off any excess grease. Remove from heat and mix in the soups, milk, Worcestershire sauce, garlic, onion, and pepper.
Combine meat mixture with cooked pasta. The pour mixture into the prepared 9 x 13 inch baking dish.
Top with parmesan cheese and bake at 350 degrees for 25-30 minutes until heated and cheese is melted, Serves 6.
Notes
This can be made ahead and frozen. Just cover with foil and freeze. Thaw in fridge for 24 hours and bake as instructed.