Brown sausage in a medium skillet; drain.

Cook noodles per directions; drain.

In a large bowl, combine sausage, noodles, peppers and pimento.

In a large saucepan, combine soup and milk.

Cook on medium heat, stirring occasionally, until simmers; remove from heat.

Add cheese and stir until cheese melts.

Add noodle mixture to sauce pan and mix until thoroughly combined.

Pour into 2 quart greased casserole dish.

In a small bowl, combine butter and bread crumbs.

Layer on top of casserole.

Bake for half an hour at 350 degrees.