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Easy Salisbury Steak (Paleo + Whole30)

This easy salisbury steak is such a rich and savory comfort food recipe, you’d never guess that it’s completely Paleo and Whole30 friendly! With a rich mushroom and onion gravy, you can serve it up with some mashed potatoes or a cauliflower mash and you will be in healthy comfort food heaven!

Easy salisbury steak in pan with mushroom and onion gravy. Spoon lifting steak out vertical image

What is salisbury steak?

It’s kind of confusing, but salisbury steak isn’t really a cut of steak. It’s basically a fancy burger patty that’s simmered in brown gravy. You’ll typically see it served with mashed potatoes and maybe some green beans.

Salisbury steak on plate with green beans and mashed potatoes close up angle shot

Does it really taste good?

Based on the description above, you might be picturing something like a microwaved Hungry Man TV dinner from your childhood. You also might be thinking of a version made with canned french onion soup. Believe me, this recipe is nothing like those “bad” versions of salisbury steak!

Easy salisbury steak in pan with mushroom and onion gravy. Spoon lifting steak out horizontal image

Is homemade salisbury steak hard to make?

The best thing about this recipe is that it’s quick and easy to make. The burger patties are flavored with a simple seasoning, egg and almond flour mix. Then, while the patties are cooking, you’ll prep the rest of the ingredients. The mushroom and onion gravy cooks quickly, and you’ll be enjoying this healthy comfort food recipe in just about 30 minutes.

Easy salisbury steak in pan with mushroom and onion gravy. Close up angle shot

What should I serve with this recipe?

We like to keep this pretty traditional and serve it with simple mashed potatoes and green beans. Some other serving options are with:

Easy salisbury steak on plate with green beans and mashed cauliflower overhead shot.

Your turn to try this easy salisbury steak

Craving comfort food but still want to keep it healthy? Try out this easy salisbury steak recipe made with real food ingredients! Leave a comment below to let us know how it goes. Also, take a pic to share on Instagram! Tag us @realsimplegood so we can see, and give us a follow if you don’t already! We’d love to stay connected! 

Easy salisbury steak in pan with mushroom and onion gravy. Text at top.

Like this Recipe?


Easy salisbury steak split image with text in middle. In pan with mushroom and onion gravy on top and on plate with green beans and mashed potatoes bottom

Easy Salisbury Steak (Paleo + Whole30)

4.79 from 37 votes
Prep Time: 10 minutes
Cook Time: 20 minutes
Total Time: 30 minutes
Course: Main Course
Servings: 5
This easy salisbury steak is a savory comfort food recipe. With a rich mushroom and onion gravy, you'd never guess that it's Paleo and Whole30 friendly!
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  • 1.5 lbs ground beef
  • 1/4 cup almond flour
  • 1 egg
  • 1/2 tsp sea salt
  • 1/2 tsp pepper
  • 2 tbsp ghee, divided
  • 1 onion, thinly sliced
  • 3 cups mushrooms, thinly sliced
  • 2 cups beef broth, divided
  • 1/4 cup coconut aminos (see recipe notes)
  • 2 tbsp arrowroot starch
  • 1 tbsp tomato paste
  • 2 tsp garlic powder
  • 1 tsp onion powder
  • 1 tsp mustard powder
  • chopped parsley optional topping
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  • In a bowl combine beef, almond flour, egg, salt, pepper and 1/4 cup of beef broth. Mix well and form into 5 large patties.
  • Place a large skillet over medium heat and add 1 tbsp ghee. Once hot, add the beef patties. Cook for 4-5 minutes per side (or until cooked to your liking) and remove to a plate.
  • While the beef is cooking, prep onion and mushrooms as noted.
  • In a bowl, combine the remaining broth, coconut aminos, arrowroot starch, tomato paste, garlic powder, onion powder and mustard powder. Stir to mix well and dissolve the arrowroot starch.
  • Once the beef is cooked, add 1 tbsp of ghee to the skillet. Add the onions and cook, stirring occasionally, over medium heat for 3-4 minutes. Add mushrooms and cook another 2-3 minutes.
  • Stir the broth mixture again to mix it up, then pour it into the pan. Scrape up the bits from the bottom of the pan and bring to a quick simmer. Turn down the heat to low. Simmer, stirring very frequently for 3-5 minutes, until the broth thickens into a gravy.
  • Add the beef patties back into the pan and nestle them in with the onions and mushrooms. Spoon some of the gravy over the beef. Cook another 1-2 minutes.
  • Serve steak topped with gravy and optional parsley. Enjoy.


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Easy Salisbury Steak (Paleo + Whole30)

33 thoughts on “Easy Salisbury Steak (Paleo + Whole30)

    • Hi Elizabeth – the egg does add a little flavor and help bind the patties together, but you can omit it entirely and they should be ok. Hope you enjoy the recipe 🙂

  • This recipe is amazing! It’s super easy and fairly quick. I was making it for 4 of us, when my daughter informed me that she and her fiancé would be there in a few minutes. I was able to divide the patties into 6, and it was still a decent portion. I served with mashed potatoes. The gravy is delicious and I may have eaten a spoonful -or 5- of it all by itself. The daughter and fiancé, along with our 10-year old son, are rather picky, but they all 3 loved it! Actually the entire family practically inhaled dinner. This recipe will absolutely be on repeat at our house.

  • This was amazing just as I knew it would be! We used grass fed beef and a small onion, a few extra mushrooms. Otherwise made exactly as instructed!

  • This was so good and will be added to our rotation. I did it exactly as the recipe says, but threw in 2 onions and added additional meat seasoning to the patties before cooking them. So good! The only change I’ll make next time is adding less tomato paste, but that’s only Bc I prefer less of a tomato taste in the gravy. My husband and 4 kids said not to change a thing! Lol

  • I made this today. My husband thought it was really good. He said to
    Make it the same way next time. I only used a pound of hamburger as it’s just the two of us. I skimped just a little on all ingredients since I used 1lb of meat & added some meat seasoning.

  • This was absolutely delicious.I have food sensitivities and this did not aggravate them(I used homemade beef broth that I had in freezer).It was a super easy recipe to follow and was so tasty.It also was quite ablot of food as well. Delicious!

  • What a delicious and easy recipe. We served it with mashed potatoes and green beans. My family absolutely loved it. Comfort food at its finest.

  • This has become my go to recipe for Salisbury steak. I will not try any other as I know this one is a winner.

    • You can but liquid aminos are much saltier so I suggest using only about 1 tbsp instead of 1/4 cup. You can then taste the sauce after step 6 and add more aminos in if you think it needs a little more salt flavor.

  • Scratch made Salisbury Steak is a family favorite of ours, and I’ve tried many recipes that our family has really enjoyed. Several of us battle food intolerances, so we are always happy to find an amazing Paleo recipe. We used homemade beef bone broth and doubled the recipe for Father’s Day dinner, served with smashed red potatoes and organic sweet peas. Everyone raved that this was the best Salisbury Steak we’ve made yet! The flavors were perfect! Thank you!

  • Making this tonight! I’m using 80/20 beef since that’s what I have on hand. Do you recommend draining the grease after cooking the patties, or leave it in the pan to incorporate with the gravy?

  • Another hit recipe! Served it with mashed cauliflower and green beans and my family ate every last bite. I had never even tried Salisbury steak before who knew it was so tasty!

  • It’s difficult to downsize a recipe when there’s an egg involved. Best to freeze the extra patties, before or after cooking?

    • You could really do it either way, but I’d recommend to freeze them before cooking so you can make the patties and gravy in the same pan when you cook them.

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