Make All Natural Butterball turkey sausage in hot Italian style the star of your favorite recipe for a low-fat, gluten-free choice. Always tender and juicy, Butterball lean turkey meat is minimally processed with no artificial ingredients and no hormones or steroids.* Enjoy Butterball's fresh turkey sausage all year for family breakfasts, appetizers or grilled lunches. Butterball is American Humane Certified. *Federal regulations do not permit the use of hormones in poultry