Step 1: In a mixing bowl or electric mixer, combine ground round, garlic, salt and pepper, potato flakes, egg, 1/3 cup of the condensed cream of mushroom soup, 1 tbsp. of the Worcestershire sauce, and milk, mixing until mixture is fully combined.
Step 2: Shape meat into six patties and brown on both sides in a large skillet.
Step 3: Reduce heat and add water about 1/3 cup at a time, simmering, covered, until patties are fully cooked (160F inside); remove to a platter and keep warm.
Step 4: While meat is cooking, heat oil and butter in another skillet and add onions. Cook onions until wilted.
Step 5: Add mushrooms to onions in the skillet and continue to saute until the mushrooms give up their water, and the vegetables soften.
Step 6: While the mushrooms are cooking, whisk together the rest of the condensed mushroom soup, the beef consomme, tomato paste, cornstarch, 2 teaspoons Worcestershire sauce, and broth/water until it is smooth.
Step 7: When the mushrooms are tender, stir in the gravy mixture and bring to a boil. Continue to cook for several minutes, stirring, until gravy is thick.
Step 8: Serve gravy with mushrooms and Salsibury patties over noodles, or with mashed potatoes or rice.
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