I'm from NYC and go to Vegas at least once a year. It is always a must to stop by at least once, but usually twice, on every visit I make to vegas. And, I always get the same. The American Kobe Beef burger on an onion bun with jalapeño bacon and whatever cheese the occassion calls for. But of course, get it medium rare. I've had the rare, and it is still good, but it's a bit cold and has a bit less flavor. If you get this, you won't be dissappionted. Stay away from ordering soda as it's always flat and do NOT under any circumstances order water - unless it's bottled. Vegas tap water is horrible.
Pros: amazing burger
Cons: soda is always flat
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