Preheat oven to 350°F (175°C). Grease a 9x13-inch baking dish.
In a large skillet over medium heat, cook ground beef, onion, and green bell pepper until the beef is browned and the vegetables are tender. Drain excess fat.
Stir in tomato soup, cream of mushroom soup, milk, Worcestershire sauce, salt, and black pepper. Bring the mixture to a simmer and cook for 5 minutes.
While the beef mixture is simmering, cook the egg noodles according to package directions. Drain and add the noodles to the beef mixture, stirring to combine.
Pour the noodle and beef mixture into the prepared baking dish. Sprinkle with shredded cheddar cheese and breadcrumbs, if using.
Bake in the preheated oven for 30 minutes, or until the cheese is melted and bubbly.