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Roughly chop the shrimp and add to a bowl. Finely chop the cilantro, mince the garlic, and add to the bowl. Add the egg white, lime juice, salt, and pepper, and mix to combine.
Add the almond flour and mix to combine. If the mixture is still too wet, add more almond flour 1 tbsp at a time. Let the mixture thicken for 15 minutes. Meanwhile, heat the avocado oil in a nonstick pan.
Wet your hands and shape the mixture into 3 patties. Fry them over medium heat for 4-5 minutes on each side, or until cooked through. You might need to do this in multiple batches if you’re using a small pan.
Slice the avocado, and divide the slices on top of the patties. Serve the shrimp patties in-between lettuce leaves. Enjoy!