Slow Cooker Salisbury Steak Recipe (10 Minutes of Prep!)

Salisbury steak recipe - Dr. Axe

Salisbury steak is one of those dishes that is quintessentially American but seems to make an appearance in frozen dinners more than on kitchen tables. But you don’t need to pull out a pre-made meal full of nasties when you can make Salisbury steak right at home. Plus, not only is this Salisbury steak recipe simple to make, it’s finished in the slow cooker for a hands-off dinner that’s cooked to perfection.

What Is Salisbury Steak?

What makes Salisbury steak so special? It’s a dish that sometimes causes confusion. Is it hamburger? Or a fancier meatloaf? Well, it’s a little bit of both.

Salisbury steak is made from ground beef that’s mixed with breadcrumbs as well as seasonings like ketchup and Worcestershire sauce and then fried up. The patties are then smothered in a delicious brown gravy made with mushrooms and onions to finish it all off. Yum!

The dish has an interesting history. It’s named after a U.S. doctor, James H. Salisbury, from the 1800s who believed that food could cure diseases. So far so good, right? The steak — or “muscle pulp of beef,” as he called it — was one of his favorite dishes. That’s because he thought that foods like fruits, veggies and starches were bad for the body. (1) Needless to say, we don’t agree with everything Salisbury thought up.

Salisbury did several experiments where he ate just one food, like porridge, at a time before concluding that Salisbury steak was the best food for the body. It was one of the main points of the book he published, where he advocated for a low-carb diet for weight loss. (2) Salisbury is credited as being one of the first to introduce a fad diet to the United States.

But whatever his ideas, there’s no denying that Salisbury created a seriously tasty recipe.

Recipe Nutrition Facts

You might be wondering if Salisbury steak is healthy. The answer is that you can definitely make a healthy version. One serving of this slow cooker steak provides:

  • 374 calories
  • 18.87 grams protein
  • 22.26 grams fat
  • 25.18 grams carbohydrates
  • 40.3 milligrams vitamin C (54 percent DV)
  • 719 IUs vitamin A (31 percent DV)
  • 0.71 micrograms vitamin B12 (30 percent DV)
  • 0.252 milligrams vitamin B1 (23 percent DV)
  • 0.254 milligrams vitamin B2 (23 percent DV)

This slow cooker Salisbury steak recipe benefits from using grass-fed beef instead of plain hamburger. Grass-fed beef is naturally higher in vitamins, minerals and antioxidants than grain-fed beef. It may actually help reduce heart disease and balance blood sugar levels. (3, 4) It can be a bit more expensive, but you truly get more bang for your buck.

Salisbury steak recipe ingredients - Dr. Axe

We keep this homemade Salisbury steak recipe easy on the stomach, too. Instead of breadcrumbs, we’ll use gluten-free cracker crumbs. This helps bind the beef with the egg and tomato sauce or ketchup to ensure that even after cooking, the steak remains juicy and flavorful.

And let’s not forget about the brown gravy recipe! Made with beef broth, mushrooms, onions, fresh thyme and Dijon mustard, you’ll want to lick the spoon as you prepare it. You can use pre-made broth for this, but if you want to kick things up a notch, using homemade beef bone broth can provide extra nutritional benefits — it’s one of my favorite foods for helping to improve leaky gut.

How to Make Salisbury Steak

But enough about the ingredients. Let’s get cooking!

Salisbury steak recipe step 1 - Dr. Axe

To start, place the mushrooms, garlic, onions, herbs, salt and pepper at the bottom of the slow cooker.

Salisbury steak recipe step 2 - Dr. Axe

Next, in a bowl, mix together the ground beef, Worcestershire sauce, crushed crackers, ketchup, eggs, salt and pepper.

Salisbury steak recipe step 3 - Dr. Axe

Use your hands to form them into 2- to 3-inch patties. This should make about six to seven patties.

Salisbury steak recipe step 4 - Dr. Axe

Brown the patties in a skillet to give them a nice color.

Salisbury steak recipe step 5 - Dr. Axe

Then place the patties on top of the mushroom mixture in the slow cooker.

Salisbury steak recipe step 6 - Dr. Axe

In a separate bowl, mix together the remaining gravy ingredients: broth, Worcestershire sauce, arrowroot starch, butter and mustard.

Salisbury steak recipe step 7 - Dr. Axe

Pour the broth mixture over the patties in the slow cooker.

Salisbury steak recipe - Dr. Axe

Cook on low for 6–8 hours.

Salisbury steak recipe - Dr. Axe

Serve the patties on a plate and spoon the brown gravy over them. These Salisbury steaks go nicely with mashed potatoes to soak up the sauce as well as green beans. Much better than a frozen dinner!

Total Time

Prep: 10 minutes; Cook Time 6–8 hours


6–7 Steaks

Diet Type



  • 1 lb. grass-fed ground beef
  • 2 tablespoons Worcestershire sauce
  • 1 cup gluten-free cracker crumbs
  • 1 tablespoon tomato sauce or organic ketchup
  • 1 egg
  • 1 teaspoon salt
  • 1 teaspoon pepper
  • Gravy:
  • 3 cups beef broth
  • 1 tablespoon soy-free Worcestershire sauce
  • 3 tablespoons butter
  • 3 tablespoons arrowroot starch
  • 1½ cups mushrooms, sliced
  • 2 cloves garlic, minced
  • ½ sweet onion, sliced
  • 1 tablespoon Dijon mustard
  • 1 teaspoon fresh thyme
  • 1 teaspoon salt
  • 1 teaspoon pepper


  1. Place mushrooms, garlic, onions, herbs, salt and pepper at the bottom of the slow cooker.
  2. In a bowl, mix ground beef, Worcestershire, crushed crackers, ketchup or tomato sauce, eggs, salt and pepper.
  3. Form the mixture into 2–3 inch patties. This should make about 6–7 steaks.
  4. Brown patties in a skillet and then place on top of mushroom mixture.
  5. In a separate bowl, mix broth, Worcestershire sauce, starch, butter and mustard.
  6. Pour broth mixture over the top of the patties in the slow cooker.
  7. Cook on low for 6–8 hours

How useful was this post?

Click on a star to rate it!

Average rating 4.8 / 5. Vote count: 34

No votes so far! Be the first to rate this post.


Leave a Reply

Your email address will not be published.

This site uses Akismet to reduce spam. Learn how your comment data is processed.

1 Comment

More Recipes