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By the start of the 20th century the hamburg-steak had become the hamburger-steak and this soon became simply the hamburger. The suffix "burger" has since been attached to many other foods. In the U.S.A. a hamburger without a bun is sometimes called a Salisbury steak - named after Dr. J.H. Salisbury, who sometime around the end of the 19th century recommended ground steak three times a day for a whole list of ailments. See 'Relish'; 'Steak Tartare'