Heart Healthy Turkey Noodle Casserole with Cream of Mushroom Soup

By Adam Fisher
Published 7/28/2026
Dietitian Reviewed: Erin McNamara, RDN, LDN, CLT
Approved for These Diets:
Heart Healthy Turkey Noodle Casserole with Cream of Mushroom Soup
Photo Credit: Adam Fisher, Baldwin Publishing

If you're looking for a creamy, old-fashioned comfort food that won't derail your health goals, this heart-healthy turkey noodle casserole is the perfect solution. It delivers all the rich, nostalgic flavor of a classic bake while keeping saturated fat in check.

This recipe is a fantastic way to repurpose Thanksgiving leftovers, transforming extra turkey into a completely new, family-friendly meal. By swapping heavy cream for unsalted cream of mushroom soup, skim milk, and nonfat Greek yogurt, you get that signature velvety texture with a lighter nutritional footprint.

Packed with protein and fiber, this easy weeknight dinner, along with our entire healthy casserole collection, is sure to satisfy even the pickiest eaters at your table!

Total Time
55 minutes
Servings
8
Calories
347

What Makes This Turkey Noodle Casserole with Cream of Mushroom Soup Healthy

This comforting casserole maintains its classic, creamy texture while drastically reducing saturated fat and sodium through smart ingredient swaps. By combining unsalted mushroom soup with nonfat Greek yogurt and utilizing protein-packed pasta, it offers a balanced, nutrient-dense meal that supports your wellness goals.

Key Health Highlights

  • High in Protein: Delivers a satisfying 26 grams of protein per serving from the turkey breast and protein rotini.
  • Lower in Saturated Fat: Uses skim milk and nonfat plain Greek yogurt to keep saturated fat down to just 3 grams per serving.
  • Fiber-Rich: Contains 5 grams of dietary fiber from the mixed vegetables and specialized pasta to support digestion.
  • Controlled Sodium: Uses unsalted cream of mushroom soup to help manage sodium intake without sacrificing that savory flavor.

FAQs About Turkey Noodle Casserole

This recipe contains 347 calories per ¾ cup serving, making it a perfectly portioned, satisfying option for a balanced diet.

Absolutely! The creamy mushroom and cheese sauce hides the mixed vegetables beautifully, and the mild, familiar flavors make it a hit with kids and adults alike.

Yes, this is an excellent way to use up leftover turkey. Simply shred your pre-cooked turkey breast and fold it right into the pasta and soup mixture before baking.

Reserving a ¼ cup of the starchy pasta cooking water and folding it into the sauce helps bind the casserole together and keeps the rotini tender and moist while baking.

Comforting Heart Healthy Casseroles

If you loved the cozy, homestyle flavors of this turkey noodle bake, be sure to explore our other heart healthy casserole recipes for more nutritious, crowd-pleasing dinners.

More Healthy Ways to Enjoy Turkey

For even more creative and delicious ways to use up those Thanksgiving leftovers after making your casserole, check out our full collection of healthy turkey recipes.

Ingredient Spotlights

This recipe relies on two key pantry staples to deliver its classic flavor and enhanced nutrition. We love using Campbell's Unsalted Cream of Mushroom Soup to achieve that signature creamy, old-fashioned casserole base without the excess sodium. To boost the macro profile, we swap standard noodles for Barilla Protein+ Rotini, which holds up beautifully during baking while adding extra fiber and plant-based protein.

Healthy Variations

  • Pioneer Woman-Inspired: For a richer, homestyle twist for special occasions, stir a splash of low-sodium chicken broth and a pinch of dried thyme into the filling to mimic that famous hearty flavor profile.
  • Thanksgiving Leftovers Twist: Serve your baked casserole with a light drizzle of leftover caramelized onion gravy over the top for the ultimate post-holiday comfort meal. 
  • Veggie-Loaded: Bulk up the fiber by folding in an extra cup of finely chopped broccoli florets or fresh spinach right before transferring the mixture to the baking dish.

Ingredients

Recipe yields 8 servings

Directions

  1. Step 1

    Grease a 9x13-inch baking dish with nonstick cooking spray; set aside. Preheat oven to 350°F.

  2. Step 2

    Bring a large pot of lightly salted water to a boil. Cook the protein rotini pasta to al dente, according to package directions, about 9 to 10 minutes. Reserve ¼ cup cooking water from the pasta. Drain the pasta into a colander and lightly drizzle with olive oil to prevent it from sticking; set aside.

  3. Step 3

    In a large mixing bowl, combine the shredded turkey breast, both cans of cream of mushroom soup, Greek yogurt, skim milk, reserved pasta water, chopped onion, minced garlic, sharp cheddar cheese, Swiss cheese, nutritional yeast, frozen mixed vegetables, ¼ teaspoon garlic powder, onion powder, and ¼ teaspoon black pepper.

  4. Step 4

    Gently stir in cooked rotini pasta. Transfer the pasta mixture into the prepared baking dish.

  5. Step 5

    In a small mixing bowl, combine the panko breadcrumbs, olive oil, rosemary and remaining ½ teaspoons of garlic powder and black pepper. Sprinkle the breadcrumb mixture evenly over the top of the pasta mixture.

  6. Step 6

    Bake uncovered for 30 to 35 minutes until bubbly and the top is golden brown. Remove from the oven and allow to sit for 5 minutes. Serve warm and enjoy!

Nutrition Facts

Serving Size:
3/4 cup

347
Calories
10
g
Fat
37
mg
Cholesterol
157
mg
Sodium
40
g
Carbs
3
g
Sat. Fat
5
g
Fiber
26
g
Protein
5
g
Sugars
334
mg
Potassium

Alternative Cooking Methods

If you prefer to prep ahead, you can assemble the entire filling in a large pot on the stovetop over low heat until the cheese melts and the mixture is warmed through. Transfer it to your baking dish, top with the panko breadcrumbs, and simply broil for 3 to 5 minutes until the topping is golden and crispy, bypassing the full 35-minute bake.

Serving & Storage Tips

Allow the casserole to sit for about 5 minutes after removing it from the oven to let the creamy sauce set. Store any leftovers in an airtight container in the refrigerator for up to 4 days. When reheating, splash a tiny bit of skim milk or water over the top to revive the creamy texture and prevent the pasta from drying out, then microwave until heated through. To freeze, assemble the unbaked casserole, cover tightly with foil, and freeze for up to 2 months; thaw overnight in the fridge before baking.

What to Serve With This Heart Healthy Turkey Noodle Casserole

This rich, creamy bake pairs perfectly with a crisp, acidic side to balance the meal. Serve it alongside a fresh green salad tossed with a light vinaigrette, or with a simple side of garlic roasted broccoli or green beans. It also goes wonderfully with a warm slice of homemade cornbread or a light, broth-based soup.

Ingredient Substitutions

If you aren't a fan of mushrooms, you can easily substitute the unsalted cream of mushroom soup with unsalted cream of chicken soup for a similar creamy texture.

Feel free to swap the protein rotini for whole wheat penne, macaroni, or any short pasta shape you have on hand.

If you don't have reduced-fat sharp cheddar or Swiss, reduced-fat provolone or a light mozzarella blend will work beautifully.

Cooked, shredded chicken breast or rotisserie chicken makes a seamless 1:1 swap for the turkey.

More Healthy Leftover Turkey Recipes

If you're looking for more ways to repurpose your holiday bird after enjoying this creamy turkey noodle casserole, explore our Thanksgiving Leftover Recipes for even more nutritious and delicious meal ideas.