Breakfast
AIP Breakfast Sausage Patties
Breakfast · serves 8 · about 30 minutes
Core AIP · Elimination phase compliant

Most commercial breakfast sausages are off-limits on AIP - they typically contain black pepper, red pepper flakes, or seed-based spices that are excluded during elimination. Making your own takes less than fifteen minutes and gives you a reliable, savory breakfast that does not feel like a consolation prize.
Ground pork is a moderate source of zinc, a mineral closely linked to immune regulation and gut-barrier integrity. Sage and rosemary contribute plant compounds with antioxidant properties, and the small amount of cinnamon and ginger - both warming spices permitted on AIP - bring enough complexity that you genuinely will not miss the pepper. If you prefer a touch of sweetness in your sausage, the maple syrup rounds the flavor nicely. If you are avoiding added sugar, simply leave it out.
The source recommends mixing the sausage the evening before and letting it rest overnight in the refrigerator. The flavors settle and deepen during that rest. If you make a double batch, uncooked patties freeze well between layers of parchment.
Ingredients
- 1 pound ground pork
- 1 teaspoon dried sage
- 1 teaspoon dried rosemary
- 1/4 teaspoon cinnamon
- 1/4 teaspoon ground ginger
- 1 teaspoon sea salt
- 1 tablespoon maple syrup (optional - omit for strict sugar-free or SCD)
Method
Combine the ground pork, sage, rosemary, cinnamon, ginger, and salt in a mixing bowl. Add the maple syrup if using. Mix thoroughly with clean hands until the seasonings are evenly distributed throughout the meat. Do not overmix or the patties will become dense.
Cover the bowl and refrigerate for at least one hour, or overnight if time allows. The longer rest develops the flavor considerably.
When ready to cook, divide the mixture into 8 equal portions and press each one into a flat round patty, about half an inch thick. Heat a skillet over medium heat - no oil is needed, as the pork will render its own fat. Place the patties in a single layer without crowding and cook for 3-4 minutes per side, until browned on the outside and cooked through. The internal temperature should reach 160 degrees F. Adjust heat as needed to avoid scorching the outside before the center is done.
Serve immediately, or cool completely before storing. Cooked patties keep in the refrigerator for 3 days.
*Adapted from gutsybynature.com*
---
*Provenance: method rebuilt in ARM's own words from source file aip-source-archives/gutsybynature/autoimmune-paleo-breakfast-sausage.md. Ingredient list used as factual reference. No third-party text reproduced.*

How to Move Autoimmune Toward Remission
The 3 factors behind an Autoimmune condition and the 2 paths forward, free, straight to your inbox.
No spam. Unsubscribe anytime.
Your guide is on its way. You can also open it now (PDF).

Further reading
Daniela Hess, MSEd, is a co-founder of Great Energy and an Autoimmune Educator and Functional Wellness Consultant who lives and thrives with Hashimoto’s. She is not a licensed medical provider.
More recipes with Pork, Sage, or Rosemary
Apple sausage stir-fry with fennel and cherriesHomemade breakfast sausage pattiesApricot-Glazed Pork TenderloinCarrot, apple, and bacon breakfast hash: crispy sage, quick skilletChicken and meatball blanquette in a coconut white sauceGlazed Chicken Wings with a Turmeric-Ginger Mustard Stand-InHomemade herbes de Provence blendPork Loin Chops with Maple-Balsamic Sauce and Delicata HashEvery ingredient in this recipe is on the Core Autoimmune Protocol food list.
Download the Core Food List (PDF) Explore the food list