A skillet filled with ground beef, tomato and pickle slices, shredded lettuce and thinly sliced onions
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Healthy Hamburger Skillet

This Healthy Hamburger Skillet recipe is the perfect quick and easy meal that the whole family will love! It is Whole30, Paleo and Keto friendly too.
Prep Time15 mins
Cook Time20 mins
Total Time35 mins
Course: Main Course
Cuisine: American
Keyword: recipe, beef, skillet, easy, dressing, cast, iron
Servings: 8 Servings
Calories: 492kcal
Author: Lisa Johnson



Thousand Island Dressing

  • 1 cup mayonnaise homemade or Whole30 compliant (Tessame)
  • 2 Tablespoons tomato paste
  • 2 Tablespoons pickle relish or finely chopped pickles (I used Sprouts brand)
  • 1 Tablespoon white wine vinegar or lemon juice
  • 1 Tablespoon fish sauce or Worcestershire sauce
  • pinch ground cloves

Hamburger Skillet

  • 1 Tablespoon olive oil
  • .5 cup red onion finely chopped
  • 2 large cloves garlic minced
  • 1.5 pounds grass-fed ground beef
  • 2 Tablespoons tomato paste
  • 1 Tablespoon mustard I used Maille Dijon
  • 3 Tablespoons coconut aminos
  • sea salt and pepper to taste
  • 2 pounds cauliflower rice 2) 16 oz packages, prepared according to the package directions
  • 1 large tomato thinly sliced
  • 1/2 cup pickle slices
  • 1 head romaine lettuce shredded or thinly sliced
  • 1/4 cup red onion thinly sliced


Thousand Island Dressing

  • Place all of the dressing ingredients in a bowl.
  • Whisk to combine. Store in a sealed container in the refrigerator for up to 1 week.

Hamburger Skillet

  • Heat the olive oil in a large skillet over medium heat. Add a 1/2 cup of onions to the skillet and cook until tender, stirring occasionally, about 5 minutes.
  • Stir in the minced garlic, and cook for 1 minute.
  • Add the ground beef to the skillet, breaking it apart with a wooden spatula or spoon. Cook until browned and no longer pink, about 10 minutes.
  • Stir in the tomato paste, mustard, coconut aminos, salt and pepper.
  • Cook until heated through.
  • Spread the cauliflower rice out in a skillet or 9 x 13 baking dish.
  • Spread the hamburger mixture over the rice. Top with tomato and pickle slices.
  • Drizzle with thousand island dressing, then top with shredded lettuce and thinly sliced red onions. Serve with additional dressing on the side.


  • I moved my cooked hamburger mixture to a bowl, then used the original skillet to layer the ingredients and serve from. Your choice.
  • If you prefer diced tomatoes or additional diced onion instead of the sliced, go for it. I was going for the look of a hamburger.
  • I used 1 medium red onion.
  • Substitute Worcestershire Sauce (has sugar) or Tamari (contains soy) for the coconut aminos if needed. (coconut allergy)
  • For Whole30/Paleo/Keto – use compliant mayonnaise, mustard, relish, tomato paste. (no added sugar)
  • My Easy Blender Mayonnaise recipe


Calories: 492kcal | Carbohydrates: 14g | Protein: 19g | Fat: 40g | Saturated Fat: 10g | Cholesterol: 72mg | Sodium: 784mg | Potassium: 932mg | Fiber: 5g | Sugar: 6g | Vitamin A: 7162IU | Vitamin C: 64mg | Calcium: 81mg | Iron: 3mg