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Preheat oven to 325 degrees
Make homemade noodles or boil 1 lb of flat egg noodles, drain and cool
Place chunks of ham, sausage, and onion in a food processor, grinder and pulse till you have a coarse grind
Lightly sauté the meat mixture till the onions are soft
Start with about ⅓ of the noodles and put a bottom layer in a greased large baking dish
Then layer ½ of the meat mix
Another layer of noodles
Then layer the other ½ of the meat mix
Mix well the sour cream or milk or combination of the eggs and nutmeg
Pour the mix over the casserole and push lightly the noodles with a spoon and shake pan so it seeps to the bottom
To make fresh bread crumbs, process 2 slices of bread and chunks of cheese in a food processor
Top the casserole with the crumbs and sprinkle with paprika
Slice the butter and sprinkle on top
Bake for 30 min at 325 degrees and then turn up the oven to 350 degrees for another 15 to 30 min until it is bubbling hot and lightly browned on top
Serve with a salad for a complete meal