Prep your ingredients by dicing the onion and mincing the garlic. Set aside.
In a large skillet, heat olive oil over medium heat. Sauté onion and garlic for 3-4 minutes until translucent.
Add ground beef to the skillet and cook for 5-7 minutes until browned. Drain excess fat.
Boil salted water and cook egg noodles according to package instructions for 7-9 minutes. Drain and set aside.
In a mixing bowl, combine cream of mushroom soup, sour cream, Worcestershire sauce, salt, black pepper, and paprika. Mix well.
Add cooked beef and onion mixture to the bowl, followed by the drained egg noodles. Mix until evenly coated.
Transfer the mixture to a greased 9x13 inch baking dish. Sprinkle breadcrumbs on top if desired.
Bake in a preheated oven at 350°F for 25-30 minutes until bubbly and golden.
Let cool for 5 minutes before serving.