Mix up the sauce.

In a medium to large cast-iron skillet, brown the ground beef to half done, then add the onions and garlic and cook until the onion is soft.

Season with the salt, pepper & Worcestershire Sauce and stir through.

Spread out to an even layer in the bottom of the skillet.

Lay the American Cheese across the ground beef.

Shred the lettuce, and sprinkle it across the cheese.

Spread the pickles over the lettuce.

Put the sauce over the lettuce; if you have an empty squeeze bottle put the sauce in that and squeeze it over the top.

Sprinkle the finely chopped onions and sesame seeds over the top.

You can serve this as is, or over toasted open face buns if you’re craving some carbs with your burger.