Prepare the spice mix:
In a small bowl, combine the salt, black pepper, ground sage, dried thyme, garlic powder, onion powder, brown sugar, red pepper flakes (if using), and any optional spices you like (cayenne pepper, smoked paprika). Mix well.

Mix the meat:
Place the ground beef in a large bowl. Sprinkle the spice mix evenly over the meat. Add the 2 tablespoons of water to help bind the mixture and keep it moist.

Combine thoroughly:
Using your hands or a spoon, gently mix everything until the spices are evenly distributed throughout the meat. Be careful not to overwork it to keep the patties tender.

Shape the patties:
Divide the meat mixture into 8 equal portions. Roll each portion into a ball, then flatten into patties about 3 inches in diameter and about ½ inch thick.

Cook the patties:
Heat a large skillet over medium heat. You can lightly oil the pan or cook them in a non-stick skillet. Place the patties in the skillet, leaving a little space between each.

Brown and cook through:
Cook the patties for about 4-5 minutes per side or until they are nicely browned and cooked through (internal temperature should reach 160°F / 71°C). Flip carefully to avoid breaking.

Serve warm:
Serve the sausage patties hot with your favorite breakfast sides like eggs, toast, or pancakes. They also freeze well if you want to save some for later.