Preheat and prep: Set your oven to 375°F (190°C). Lightly grease a 9x13-inch baking dish.
Cook the pasta: Boil the high-protein pasta in salted water until just shy of al dente (about 1–2 minutes less than the package suggests).
Drain and set aside.
Brown the beef: Heat the oil in a large skillet over medium-high. Add the ground beef, breaking it up as it cooks, until no longer pink. Spoon off excess fat if needed.
Sauté aromatics: Add the diced onion and cook 3–4 minutes until softened.
Stir in the garlic for 30 seconds until fragrant.
Build the sauce: Stir in tomato paste, ketchup, mustard, Worcestershire, smoked paprika, pepper, and salt. Add beef broth and simmer 3–4 minutes to thicken slightly.
Boost the protein: Reduce heat to low. Whisk together Greek yogurt and egg whites in a small bowl.
Remove the skillet from heat and quickly stir in the yogurt-egg mixture until smooth and creamy. Do not boil—you want it silky, not scrambled.
Combine: Fold in the drained pasta, 1 cup of the cheese, and the diced pickles. Taste and adjust seasoning.
Assemble and bake: Spread the mixture in the baking dish. Top with the remaining 1/2 cup cheese.
Bake 15–18 minutes, until bubbly and lightly golden around the edges.
Finish and serve: Let rest 5 minutes. Sprinkle with green onions and extra pickle slices. Add shredded lettuce and chopped tomatoes on top if you like that “burger” finish.