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patty melt with queso cheese and onions
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4.72 from 14 votes

Low Carb Patty Melt

Low carb patty melt pleases the whole family with plenty of beef, cheese and low carb goodness.
Prep Time15 mins
Cook Time25 mins
Total Time35 mins
Course: Main Course
Cuisine: American
Servings: 4
Calories: 383kcal


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

Comeback Sauce

  • 2 tablespoon mayonnaise
  • 2 tablespoon ketchup
  • ½ tablespoon 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 | Cholesterol: 88mg | Sodium: 318mg | Potassium: 432mg | Fiber: 1g | Sugar: 3g | Vitamin A: 127IU | Vitamin C: 3mg | Calcium: 89mg | Iron: 3mg