I made the recipe with the following changes based on tips from other reviews and what I had on hand. I used celery and onion (probably about 1/2 the amount called for) and no green pepper. I used 4 oz cream cheese, a can of cream of chicken soup, a can of milk and 1/4 cup of parmesan in the sauce. I didn't measure the ham, just put in some leftover ham cut into cubes until it looked like enough. I cooked 6 oz egg noodles. I mixed it all together and put it in a casserole dish and topped it with crushed Ritz crackers mixed with 1/4 cup parmesan. The results were a creamy, flavorful dish that my entire family loved! I will definitely make this again and will probably add some corn just to get some veggies into my kids!