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Preheat oven to 375°F. Spray a 9 x 13-inch baking dish with nonstick cooking spray. Arrange the pierogies and sliced sausage in the prepared dish.
In a medium bowl, stir together the condensed soup, milk, ½ cup of the cheese, and ¼ cup of the green onions. Pour the soup mixture evenly over the top of pierogies and sausage.
Cover with foil and bake for 30 minutes. Sprinkle with the remaining 1 cup of cheese.
Return to the oven (uncovered) for about 10 more minutes, or until the cheese melts. If you’d like the casserole more browned on top, place the dish under the broiler for the final 1-2 minutes. Just keep a close eye on it so that it doesn’t burn!
Garnish with the remaining green onions and serve.