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Step 1
In a large skillet or medium pot cook the ground beef and bulk sausage (if using) over medium heat until browned; drain fat.
Step 2
Add in garlic, chili flakes, 1/2 pagage dry onion soup mix, Worcestershire sauce and mushrooms; cook stirring for 3 minutes.
Step 3
Pour 2 cups half and half cream or milk into the pan and stir scraping up any browned bits on the bottom of the pan; bring to a simmer over medium heat.
Step 4
Reduce heat to medium-low and simmer for about 4-5 minutes.
Step 5
In a bowl whisk the flour with remaining 1/2 cup of cream until smooth; slowly add to the beef mixture stirring with a spoon.
Step 6
Simmer stirring with a wooden spoon for about 3-4 minutes until thickened.
Step 7
Mix in about 1/3 cup grated parmesan cheese.
Step 8
Season with black pepper.
Step 9
Divide the cooked noodles onto plates.
Step 10
Spoon the hamburger gravy over, then sprinkle the top with Parmesan cheese.