In a large mixing bowl, combine all the Salisbury steak patty ingredients. Use hands to mix together.
Form 4 patties with the meat mixture.
Heat avocado oil in a large pan over high heat and add patties to the pan. Cook for 4 to 6 minutes per side or until completely cooked through and browned.
Transfer patties to a plate and set aside.
Turn pan heat to low. Add butter and scrape the pan to deglaze. Add minced garlic and sprinkle in xanthan gum while whisking into the butter using a fork or a small whisk.
Add water, beef broth, sliced mushrooms, and Worcestershire sauce to the pan and stir.
Turn up the heat to medium and bring to a bubbling simmer. Turn down heat to medium-low, cover with a lid and simmer for 4 to 5 minutes.
Stir in salt and pepper. Return the patties to the pan with the gravy, spoon gravy over patties and cover the pan with the lid to let warm for 2 to 3 minutes.
Serve.
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Notes
*all nutritional data are estimates based on the products I used*Servings: 4, Serving size: 1, Net Carbs Per Serving: 4g,Amounts per serving-