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!

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.

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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

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Easy Salisbury Steak (Paleo + Whole30)

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!


  • 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, (or coconut oil for dairy free)
  • 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


  • 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)