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beef patty with cooked onions and melted queso cheese
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4.69 from 16 votes

Low Carb Patty Melt

Make this low carb burger patty melt with a special sauce in about 30 minutes! Serve as is, in a lettuce leaf or on very thin bread to keep carb counts low.
Prep Time15 mins
Cook Time25 mins
Total Time35 mins
Course: Main Course
Cuisine: American
Diet: Diabetic
Servings: 4
Calories: 383kcal


  • 1 Tbsp. olive oil or butter
  • 1 medium onion,sliced
  • 1 lb. ground beef, grass fed if available
  • 2 tsp. Worcestershire sauce
  • salt and pepper
  • 3 Tbsp. queso melting cheese
  • 8 slices thin-sliced bread optional

Comeback Sauce

  • 2 Tbsp. mayonnaise
  • 2 Tbsp. ketchup
  • ½ Tbsp. dill pickle relish
  • dash Worcestershire sauce


  • To prepare Comeback Sauce:
    Mix all ingredients well.  Use this as a sandwich spread with patty melts.
  • Heat oil or butter in a large skillet then add sliced onion. Cook and stir until soft and golden brown-about 15 minutes. Remove from skillet and keep warm.
  • Add worcestershire sauce to ground beef and form into 4 thin patties.  Sprinkle with salt and pepper as desired. Place patties in skillet  and cook over medium heat turning as needed until fully cooked.
  • Place onions on top of cooked patties, then pour melted queso over all.  
  • Toast bread slices. Spread 2 slices toast with comeback sauce then add a patty with onions and cheese to form sandwich.  


Expert Tips

  • Cook the onions until fully caramelized- this is a key part of the recipe!
  • Queso is awesome in this recipe but feel free to use the cheese you prefer.
  • May this recipe even fewer carbs and use a lettuce leaf instead of very thin bread.


Calories: 383kcal | Carbohydrates: 6g | Protein: 24g | Fat: 29g | Saturated Fat: 9g | Polyunsaturated Fat: 4g | Monounsaturated Fat: 12g | Trans Fat: 1g | Cholesterol: 88mg | Sodium: 318mg | Potassium: 435mg | Fiber: 1g | Sugar: 3g | Vitamin A: 138IU | Vitamin C: 3mg | Calcium: 91mg | Iron: 3mg