The Weird Cousin From North Carolina You Never Knew You Had: A Livermush Sandwich

Descended from German immigrants, the Livermush Sandwich is popular in the Southern Appalachian Mountains and is savory, comforting, and affordable.

Deep in the bowels of Shelby, North Carolina, livermush emerges as a breakfast sensation, capturing the essence of Western North Carolina’s culinary traditions.

Livermush is very specific to Western NC and never made it out of that part of the state. It’s often eaten at breakfast with eggs or in a sandwich.

Join us on a journey through the savory world of livermush, a delicacy celebrated at the renowned Livermush Festival in Shelby and Marion.

Disclosure: This post may contain affiliate links, meaning we receive a commission if you make a purchase using these links, at no extra cost to you.

Want to try different sandwiches from across the United States? Check out this viral Vermonter, West Virginia’s iconic Pepperoni Roll, or a Kentucky Hot Brown.

What Does Livermush Taste Like?

Livermush boasts a savory and slightly spiced profile. Its taste is a harmonious blend of country sausage, giving it a rich and hearty essence. When cooked to perfection in a cast iron skillet, the outer layer achieves a crispy texture that contrasts wonderfully with the tender interior.

Is Livermush a North Carolina Thing?

Absolutely! Livermush is deeply ingrained in Western North Carolina’s culinary heritage. Shelby, North Carolina, is a hub for livermush enthusiasts, and the dish has become a beloved breakfast staple in the region.

sliced livermush

What is Liver Mush Made Out Of?

Livermush is pork parts, including parts like liver, head meat, and other trimmings. The mixture is includes spices and cornmeal. It has a signature taste that distinguishes livermush from other breakfast meats.

Does Livermush Have to Be Cooked?

Yes, livermush is typically cooked before consumption. The preferred method involves slicing the livermush and pan-frying it in a cast iron skillet until it achieves a delightful golden brown exterior. Cooking enhances the textures, creating a satisfying breakfast experience.

What is Livermush Called in Pennsylvania?

In Pennsylvania, a similar dish is scrapple. While there are similarities between livermush and scrapple, each has its unique regional variations and profiles.

Can You Eat Raw Livermush?

Folks eat livermush cooked, not raw . Cooking is essential to bring out the flavors and ensure the dish is safe to eat. The process of pan-frying or baking adds a delicious crispiness to the outer layer while maintaining a tender interior.

Is Scrapple Like Livermush?

Yes, scrapple shares similarities with livermush. Both are breakfast meats include liver and other pork trimmings. However, the specific seasonings and regional variations contribute to distinct flavor differences. Livermush consists of at least 30% pig liver.

What is the One Food That North Carolina is Known For?

While North Carolina boasts a diverse culinary scene, barbecue holds a special place as the quintessential food. North Carolina barbecue, particularly the pulled pork variety, is celebrated for its vinegar sauces and cooking techniques.

What is Scrapple Called in the South?

In the South, scrapple goes by livermush. The interchangeable use of these terms highlights the regional diversity in naming conventions for similar pork-based breakfast meats.

Where is the Livermush Festival Held?

The Livermush Festival, a celebration of this North Carolina delicacy, takes place in Shelby, North Carolina. This annual event brings together locals and visitors alike to indulge in livermush, fostering a sense of community and culinary appreciation.

Livermush stands as a testament to North Carolina’s rich culinary tapestry, offering a flavorful journey through the state’s breakfast traditions.

Whether enjoyed at the Livermush Festival in Shelby or in the comfort of your own kitchen, livermush is a delicious slice of North Carolina’s gastronomic heritage.

Livermush Sandwich

Author: Maddy & JD – Them Bites
Descended from German immigrants, the Livermush Sandwich is popular in the Southern Appalachian Mountains and is savory, comforting, and affordable.
No ratings yet
Prep Time 5 minutes
Cook Time 10 minutes
Course Breakfast, Lunch
Cuisine American
Servings 2 sandwiches
Calories 170 kcal


  • 1 block livermush
  • 1 tsp oil
  • 2 hamburger buns

First Way

  • 1 tbsp grape jelly

Second Way

  • ½ small white onion diced
  • 1 tbsp mustard

Recipe Instructions

  • Slice livermush into 6 ½ inch thick slices (3 per sandwich).
  • Heat a pan over medium heat until hot. Add oil and add livermush slices. (You may need to fry in batches). Cook until pan side darkens, about 5 minutes. Flip and cook another few minutes.

First Way

  • Layer fried livermush on the bun. On the top bun, liberally cover with grape jelly.

Second Way

  • Layer fried livermush on the bun. On the top bun, liberally cover with mustard. Add chopped onion and top with bun.


Calories: 170kcalCarbohydrates: 29gProtein: 5gFat: 4gSaturated Fat: 1gPolyunsaturated Fat: 1gMonounsaturated Fat: 2gTrans Fat: 0.01gSodium: 298mgPotassium: 71mgFiber: 1gSugar: 8gVitamin A: 6IUVitamin C: 1mgCalcium: 69mgIron: 2mg
Keyword livermush, livermush sandwich
Share on Facebook
Tried this recipe?Mention @thembitesrecipes or tag #thembites

Similar Posts

Leave a Reply