I just wanted to say that the caseerole came out excellent! We made a side of brown rice with this dish. I made some changes however. I added 2 turkey sausages into the meat mixed and used a little more bread crumbs. Instead of one pack of cream cheese, I used two packets of powdered cheese mix that came with the "hamburger helper". I didnt use hamburger helper, I used an organic brand and used two boxes instead of one. I also added some cut onions to the water. I completly took out the nutmeg and instead added some bays seasoning, thyme, parsley and the salt. I used real garlic instead of powdered then I used a tablespoon of tomato paste along with the a1 sauce. Also, after I cooked the meatballs and the macaroni in the oven. I added a bag full of mixed veggies. Mixed together and added the meatballs on top with Mottzarealla cheese sprinkled over the top and some olive oil. I let it cook for ten minutes and all done! A delicious meal! Thanks.