Made for supper tonight. Nice option for those who may not keep cream soups on hand. I made a variation as I only had 8 oz. of pasta on hand. I cooked and drained the pasta and layered it in the casserole dish with the tuna and a 16 oz. bag of mixed veggies. For the sauce I also sauteed some onions and celery and added a bit of ranch dressing for extra zip. The recipe didn't say to add the milk, but I added it after the flour in small batches as you would for any cream base. Topped with buttered cracker crumbs, rather than cheese. It turned out to be a pretty standard Tuna Noodle Casserole, but it was good. I'd probably prefer the cheese topping to the cracker one, but it was what we had. 10 month old enjoyed self feeding this, which makes me happy.