In a large bowl, combine the ground beef, grated onion, almond flour, eggs, garlic powder, onion powder, paprika, Italian seasoning, and black pepper. Mix until well combined.
Form the beef mixture into 4 patties.
Heat the olive oil in a large skillet over medium heat. Add the patties and cook until browned, about 5 minutes per side.
In a small bowl, mix together the beef broth, Worcestershire sauce, and low-carb ketchup.
Pour the sauce over the patties in the skillet and reduce the heat to low. Simmer until the sauce is thickened and the patties are cooked through, about 10 minutes.
Serve hot.
Interesting Facts
Salisbury steak is a classic American dish that was invented by Dr. J.H. Salisbury in the late 19th century.
This low-carb version is a great way to enjoy the flavor of Salisbury steak while keeping your carb count low.
Almond flour is a great low-carb alternative to traditional breadcrumbs in recipes like this one.