The Quadruple Bypass Burger has four slabs of beef weighing 2lbs, three cheese layers, four bacon rashers, lettuce and tomato.
The Heart Attack Grill in Tempe, Arizona, has wheelchairs to carry customers out of the restaurant.
Customers can also order the smaller Triple Bypass Burger and Flatliner fries cooked in pure lard.
A spokesman said: "You have to be a real man to dine here."
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