Gather all ingredients. Begin by making guacamole. To a bowl, add the avocado, onion, jalapeno, salsa, and lime juice. Add salt and pepper, to taste. Mash it up with a fork, leaving it somewhat chunky. Set aside.

Heat a pan over medium heat. While pan is heating, shape patties out of the sausage meat. When pan is ready, add half the butter. Once the butter has melted, place patties in the pan and cook until they are browned and halfway cooked (about 3 minutes). Turn the patties and cook until completely cooked (2-3 more minutes). Set aside on a paper towel to absorb excess grease.

Turn heat under pan down slightly, if using an egg mold. To the pan, add the remaining butter and, once melted, crack in the eggs. Cook until the egg whites are cooked through, but the yolks remain runny.

When done, set sausage patty on plate. Top each patty with guacamole. (To aid in this, place egg mold on top of patty, add guacamole, then remove mold.) Place fried egg on top and season with salt and pepper to taste. If desired, top with diced jalapeno and cilantro.