01 - In a large skillet over medium heat, melt the butter. Add the sliced onions, sugar, and salt. Cook, stirring occasionally, for 20–25 minutes until onions are golden brown and caramelized. If needed, add a splash of water to prevent sticking. Remove from heat and set aside.
02 - In a large bowl, gently mix the ground beef with salt, pepper, and Worcestershire sauce. Form into 4 equal patties, making a slight indentation in the center of each for even cooking.
03 - Heat a grill, grill pan, or skillet over medium-high heat. Cook the patties for 3–4 minutes per side for medium, or to your desired doneness. If using cheese, place a slice on each patty during the last minute of cooking and cover to melt.
04 - While the burgers cook, lightly toast the buns cut side down in a dry pan or on the grill until golden.
05 - Place lettuce and tomato on the bottom bun, add the burger patty, then top with caramelized onions and pickles. Add ketchup, mustard, or mayo as desired. Top with the other half of the bun. Serve immediately.