01 - Melt butter in a large skillet over medium heat. Add sliced onions, sugar, and salt. Cook stirring occasionally for 20-25 minutes until golden brown and caramelized. Add water splash if needed to prevent sticking. Remove from heat.
02 - Gently mix ground beef with kosher salt, black pepper, and Worcestershire sauce in a large bowl. Form into 4 equal patties, creating a slight indentation in center of each for even cooking.
03 - Heat grill, grill pan, or skillet over medium-high heat. Cook patties 3-4 minutes per side for medium doneness. If using cheese, place slice on each patty during last minute and cover to melt.
04 - Lightly toast burger buns cut side down in dry pan or on grill until golden.
05 - Place lettuce and tomato on bottom bun, add burger patty, top with caramelized onions and pickles. Add condiments as desired. Top with remaining bun half. Serve immediately.