Step 1

Add all patty ingredients to a large bowl. Use clean hands to combine. Divide the mixture into four balls and flatten into patties.

Step 2

Heat 1 tablespoon avocado oil in a skillet on medium heat. Cook patties until beef is no longer pink. Adjust temperature to low heat.

Step 3

Pour gravy mixture, ketchup and Worcestershire into hot water. Whisk to combine. Pour gravy over patties in skillet and allow it to come to a simmer. Add ¼ cup of additional water to the gravy if it becomes too thick, and stir. Serve warm over mashed potatoes if desired.