# Tuna Noodle Casserole: IDDSI Level 5 recipe

Canonical: [https://followyourswallow.com/recipes/tuna-noodle-casserole-level-5](https://followyourswallow.com/recipes/tuna-noodle-casserole-level-5)

Level 5: Minced & Moist | 35 min | Serves 1 + the family

## Family version

- Egg noodles
- Tuna in cream sauce
- Crispy fried-onion topping

## Level 5 ingredients

- 100 g cooked egg noodles
- 80 g canned tuna, well drained
- 180 ml thick cream sauce (béchamel)
- 30 g soft-cooked carrot, finely diced
- Sauce thickener as needed

## Method

1. Cook the noodles past al dente to genuinely soft, then chop into pieces no larger than 4 mm.
2. Flake and mash the tuna finely, checking for any firm chunks.
3. Make the cream sauce thick enough that it coats a spoon and doesn't run thin. Thicken further if needed.
4. Fold noodles, tuna, and carrots through the sauce until everything is coated and cohesive.
5. Bake the family casserole with its crispy topping; serve the Level 5 portion from before the topping goes on. Fork pressure test first.

## Equipment

Sharp knife, fork for testing

## Practical tip

Casseroles convert beautifully. The sauce is already doing the binding work. The crispy topping is the only thing that has to go.

## Before serving

Run the appropriate IDDSI fork and spoon tests on the finished serving. Recipes guide the preparation; only testing confirms how the serving behaves.

## Safety

Use only the food and drink levels prescribed by the person's qualified clinician. Test the actual serving before it is eaten or drunk.