Preheat your oven to 250C (480F). Line a 1lb (4.5in x 8.5in) loaf pan with baking paper.

Melt butter in a medium saucepan. Cook onions, covered stirring every few minutes for 10 minutes or until the onions are soft but not browned.

While the onion is cooking, combine almond meal / bread crumbs, sausages, macadamias and sage (if using) in a large bowl. Add a good pinch of salt and the cooked onions.

Let the onions cool for a few minutes then using your hands mix until well combined. Pack the mixture into the lined loaf pan.

Bake for 20-25 minutes or until loaf is well browned and cooked through. Cool for a few minutes before removing from the loaf pan. Serve in slices with something green.