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Combine the buffalo meat, garlic, Worcestershire sauce, salt and pepper in a mixing bowl. Blend together with hands.
Form meat into 8 small patties. Place on a plate and put in fridge.
When ready to cook, start the Traeger grill on Smoke with the lid open until the fire is established (4 to 5 minutes). Set the temperature to High and preheat, lid closed, for 10 to 15 minutes.
Remove patties from fridge and place on grill. Grill patties for 4 minutes on each side and remove from grill.
If you want to add cheese, place sliced cheese on patties the last 2 minutes of cooking to melt.
To toast buns, place buns on grill grate the last minute of cooking.
Serve with sliced onions, pickles, tomatoes, lettuce and condiments of your choice. Enjoy!