Burger patty is stuffed with American cheese. Toasted bun, grilled onions, pickles and thousand island. Greasy and flavorful. I was sad when it was finished. I need to buy 2 next time! They are only open Fri-Sun, 6pm until 11pm (or when they sell out). Great service. I would recommend. If this is too red for you, ask for medium well or more.