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Paleo Sausage Egg “McMuffin”

The Paleo Sausage Egg McMuffin: perfect for fans of eating sausage ’n eggs with their hands. Besides, who needs bread when the filling’s the best part? Plus, it's Whole30, keto, and super satisfying! 
Prep Time10 mins
Cook Time10 mins
Total Time20 mins
Course: Breakfast
Cuisine: American
Keyword: breakfast, gluten-free, keto, low carb, paleo, Primal, Whole30
Servings: 1 “McMuffin”
Calories: 783kcal
Author: Michelle Tam


  • 2 tablespoons ghee divided (plus more for greasing the biscuit cutters)
  • ¼ pound bulk raw pork breakfast sausage
  • 2 large eggs
  • Kosher salt
  • Freshly ground black pepper
  • ¼ cup water
  • 2 tablespoons guacamole optional


  • Grab two stainless steel 3½-inch biscuit cutters, and grease the insides well with melted ghee. Place one cutter on a plate and fill it with the sausage meat. 
  • Gently press the meat down to uniformly shape a sausage patty.
  • Heat a skillet over medium heat and add a tablespoon of ghee. When the fat is shimmering, add the patty to the pan. If you really want the patty to keep its perfectly round shape, you can keep the mold on until the cooked patty shrinks away from the sides. Then, lift it off and away.
  • Clean the biscuit cutter and grease it again.
  • Fry the sausage about 2 to 3 minutes on each side or until fully cooked. If your patty’s thick, you may need to cover the pan to make sure it’s cooked through. Once the patty’s ready, transfer it to a plate.
  • Now, make the eggy “buns.” Grab two small bowls and crack one egg into each. Pierce the yolks with a fork.
  • Heat a skillet over medium-high heat with the remaining tablespoon of ghee. (Make sure you’ve got a tight-fitting lid for this skillet.) When the ghee’s shimmering, place the two greased biscuit cutters in the pan, and pour an egg into each mold.
  • Season the eggs with salt and pepper to taste. Then, add ¼ cup water to the skillet (outside of the egg molds), making sure not to splash the eggs.
  • Turn down the heat to low, and cover the pan. Cook the eggs, covered, for about 3 minutes or until cooked through.
  • Transfer the eggs to a paper-towel lined plate. One easy way to do this is to slide a spatula under the mold as you tilt it up while wearing a heat-resistant glove.
  • Assemble the faux-“McMuffin” by sandwiching the sausage patty in between the two egg rounds. If you’re feeling old-school, you can eat the sammie as-is, or wake up your palate with a squiggle of sriracha. But my favorite addition to this breakfast burger? A big dollop of homemade guacamole.


Tried this recipe?Mention @nomnompaleo or tag #nomnompaleo!


Calories: 783kcal | Carbohydrates: 3g | Protein: 29g | Fat: 73g | Fiber: 2g