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American · Burgers · Themed Dining

Heart Attack Grill Menu Prices 2026: Bypass Burgers, Las Vegas Menu

Full Heart Attack Grill menu prices for 2026 — every Bypass Burger from Single ($14) through Quadruple ($26) and Octuple (~$60), Flatliner Fries cooked in pure lard, butterfat-rich shakes, plus the documented "over 350 lbs eats free" policy and calorie counts for each burger size. The restaurant operates a single Las Vegas location on Fremont Street; this page covers the full menu, the 1–8 patty size matrix, comparison vs. other American burger peers, and the practical answers to the questions people most often ask before visiting.

Single Las Vegas locationBypass Burgers $14–$60Quadruple Bypass ~9,983 cal350 lb policy: meal freeHospital-themed dining
Sample · $$$

Signature items

Single Bypass Burger$14.00
Quadruple Bypass Burger$26.00
Octuple Bypass Burger$59.95
Flatliner Fries$6.00
Butterfat Milkshake$10.00
Jump to: Bypass Burger size matrix 'Over 350 lbs eats free' Hospital theme explained Cheapest items Most popular What's new in 2026 Calories + prices Full menu Price vs. Five Guys / In-N-Out FAQ
Quick answers

Common Heart Attack Grill menu questions, answered

The questions Google asks most often about Heart Attack Grill, answered in one glance, with prices and calorie counts.

Cheapest item
Bottled Water $3.00

Among food: Flatliner Fries at $6.00 or the Bypass Dog at $9.00 are the cheapest items on the menu.

Most popular
Quadruple Bypass Burger $26.00

The signature item. Four half-pound patties, 20 strips of bacon, ~9,983 calories — the dish almost every visitor orders or photographs.

Most extreme
Octuple Bypass Burger $59.95

Eight half-pound patties, 40 strips of bacon, ~19,900+ calories. Off-menu / not always available.

Free meal trigger
Weighing over 350 lbs

Customers weighed at the door who exceed 350 lb receive their meal free of charge. Documented house policy.

Bypass Burger size matrix

Single through Octuple: every Bypass Burger size, with calories and price

The Bypass Burger is the menu's defining item and is offered in five sizes from one to eight half-pound patties. Calorie estimates are published by the restaurant; the Quadruple Bypass figure (~9,983 cal) has been widely reported as among the most calorie-dense single restaurant items sold in the United States.

BurgerPattiesBeef weightBacon stripsCalories (approx.)Price
Single Bypass10.5 lb0~2,500$14.00
Double Bypass21.0 lb0~4,500$18.00
Triple Bypass31.5 lb0~6,000$22.00
Quadruple Bypass42.0 lb20~9,983$26.00
Octuple Bypass84.0 lb40~19,900+$59.95

Every Bypass Burger is built on a bun cooked in beef tallow. Cheese, raw onion and sliced tomato are included on each size. The Octuple is not always on the published menu and pricing has been adjusted over time. For context, the U.S. recommended daily caloric intake for an adult is roughly 2,000–2,500 calories — a Quadruple Bypass is approximately four days' worth of recommended intake in a single meal.

House policy

The "over 350 lbs eats free" policy — what it actually is

Heart Attack Grill has operated a documented house policy since its early years that any customer weighing more than 350 pounds receives their meal free of charge. The policy is real, has been consistently in place across the restaurant's life, and is not a one-night promotional event.

How it works in practice:

  • Weigh-in at the door. An industrial scale at the entrance is used to weigh customers who wish to claim the free meal. The weigh-in is performed publicly as part of the restaurant's hospital-roleplay theme.
  • Threshold is 350 lb (159 kg). Weights above that figure trigger the free-meal benefit; weights at or below the threshold do not.
  • Applies to the meal, not the table. The benefit covers the qualifying customer's order, not the rest of the party.
  • Available during operating hours. There is no time limit or promotional window; the policy is the standing offer of the house.

The policy has been criticized as exploitative by public-health commentators and defended by founder Jon Basso as deliberately provocative — a satirical posture toward the obesity crisis that Basso has discussed in numerous interviews. Anyone considering visiting purely to claim the benefit should weigh that context.

  • Threshold: Greater than 350 lb (159 kg)
  • Verification: Public weigh-in at door
  • Covers: Qualifying customer's meal only
  • Tax / tip: Customer-paid
  • In effect since: Restaurant's early years
  • Documented: By the restaurant in interviews and signage
The hospital theme

Patients, nurses, gowns and prescriptions — what to expect inside

The dining-room experience is built around an unbroken hospital roleplay. The structure is the same on every visit; the staff stays in character throughout the meal.

Customer terminology

You are a "Patient"

Every customer is addressed as a patient from the moment they enter. The roleplay is structurally consistent — there is no opt-out vocabulary used by staff.

Staff costume

Waitresses dress as "Nurses"

Front-of-house staff wear scrubs / nurse-uniform costumes and address patients in scripted medical-themed dialogue throughout the meal.

Dress code

Hospital gowns provided in-store

Patients are issued and asked to wear a paper hospital gown over their clothes for the meal. Gowns are provided at no charge as part of the standard dining experience.

Order ritual

Your order is a "Prescription"

Orders are written on prescription-style forms and referred to as prescriptions. The full menu, calorie counts and warnings are framed in medical language.

Photography

"Patient privacy" framing

The restaurant uses hospital-style "patient privacy" language as a recurring joke — diners are explicitly encouraged to photograph and share their visit; the theme is performance, not actual privacy policy.

Punishments

The "spanking" theme

Patients who do not finish their burger have historically been subject to a theatrical spanking with a paddle by nurse staff — a long-running part of the bit. Whether the practice is currently performed varies; ask staff if you want or want to avoid it.

Cheapest items

The cheapest items at Heart Attack Grill (May 2026)

Ranked by current menu price. Heart Attack Grill is a destination restaurant rather than a value option — even the cheapest sides run higher than chain-burger averages — but for visitors looking for the lowest entry point, these are the items to know.

  1. 1Bottled WaterSealed bottled water.$3.00
  2. 2Fountain SodaStandard Coca-Cola fountain options.$4.00
  3. 3Mexican Coca-Cola (glass)Cane-sugar Coke in a glass bottle.$5.00
  4. 4Flatliner FriesThe signature lard-fried side.$6.00
  5. 5Pabst Blue Ribbon (can)Cheapest beer.$6.00
  6. 6Onion RingsBeer-battered, fried in lard.$7.00
  7. 7Bypass DogSplit-and-grilled hot dog. Cheapest hot food.$9.00
  8. 8Old-School SundaeCheapest dessert.$9.00
  9. 9Coronary DogFootlong dog with bacon, chili, cheese.$10.00
  10. 10Single Bypass BurgerThe cheapest burger on the menu.$14.00
What's new on the menu in 2026

Recent additions and currently active items

Heart Attack Grill is a single-location independent restaurant with a relatively stable core menu — the Bypass Burger lineup has been continuous since the chain's founding. Items below reflect what's active or recently emphasized in 2026 marketing.

Permanent

Quadruple Bypass Burger

The signature dish remains the menu's defining item and is the focus of nearly all current marketing. Four half-pound patties, 20 strips of bacon, ~9,983 calories.

$26.00
Returning

Octuple Bypass Burger

The eight-patty version returns periodically and is currently available on request. Off-menu / availability varies — confirm with staff on arrival.

$59.95
House

Mexican Coke in glass bottles

Cane-sugar Mexican Coca-Cola in glass bottles continues to be served alongside fountain drinks — part of the restaurant's old-school presentation.

$5.00
Signature

Flatliner Fries (lard)

Hand-cut fries cooked in pure beef tallow continue as the signature side. Not vegetarian.

$6.00
Old-school

Butterfat Milkshakes

Vanilla, chocolate and strawberry whole-milk shakes hand-spun with butterfat-rich ice cream — long-standing menu item.

$10.00
Discontinued

Unfiltered cigarettes (no longer sold)

The restaurant historically sold branded 'Unfiltered' cigarettes as part of the theme. They are no longer offered for sale.

Browse the menu

Jump to a category

All five Heart Attack Grill menu categories with item counts.

The full priced menu

Every item on Heart Attack Grill's menu (with 2026 prices)

All categories below with descriptions and current pricing as observed in May 2026.

About these prices. Heart Attack Grill is a single-location independent restaurant on Fremont Street in Las Vegas. Pricing shown is the in-restaurant menu as of May 2026; the restaurant adjusts prices periodically and the Octuple Bypass Burger is off-menu and may be priced differently on the day. Tax and tip are not included in menu prices, and the restaurant operates as full-service with standard table-service gratuity expectations. Confirm at the restaurant before ordering.
Calories + prices

Headline items: calories and price together

Calorie counts are central to Heart Attack Grill's identity and are published as part of the menu's branding. Figures below are the restaurant's stated approximate values; precise calorie content varies by build.

ItemCalories (approx.)PriceCalories per dollar
Single Bypass Burger~2,500$14.00~179
Double Bypass Burger~4,500$18.00~250
Triple Bypass Burger~6,000$22.00~273
Quadruple Bypass Burger~9,983$26.00~384
Octuple Bypass Burger~19,900+$59.95~332
Flatliner Fries~1,000$6.00~167
Butterfat Milkshake~1,200$10.00~120
Coronary Dog~1,500$10.00~150
Bypass Dog~1,000$9.00~111

Calorie figures are the restaurant's approximate stated values and have been reported in mainstream press coverage of the chain. The Quadruple Bypass calorie figure (~9,983) is the most-cited number in coverage of the restaurant; precise content varies with bun, cheese and bacon variation. The "calories per dollar" column is provided as the metric most relevant to the brand's own positioning, not as a dietary recommendation.

Price comparison

How Heart Attack Grill compares to Five Guys, In-N-Out and Vegas burger peers

Like-for-like comparison vs. national burger chains. Heart Attack Grill is positioned as a destination / themed experience, not a chain-value option — the price gap is the point.

CategoryHeart Attack GrillFive GuysIn-N-OutWhataburgerBurgerFi
Cheapest single burger$14.00 (Single Bypass)$11.59 (Hamburger)$4.45 (Hamburger)$5.79 (Whataburger Jr.)$8.49 (Cheeseburger)
Signature item$26.00 (Quadruple Bypass)$13.89 (Bacon Cheeseburger)$5.65 (Double-Double)$8.99 (Whataburger Triple)$10.99 (BurgerFi Cheeseburger)
Fries$6.00 (Flatliner Fries)$5.39 (Regular)$2.50 (Fries)$3.29 (Medium)$4.99 (Fries)
Milkshake$10.00 (Butterfat)$6.49 (Hand-spun)$3.45 (Shake)$4.89 (Shake)$6.99 (Shake)
Calories — signature burger~9,983~920~670 (Double-Double)~1,030~840
Locations1 (Las Vegas)1,700+400+1,000+100+

Comparison rows pair signature items where possible. Heart Attack Grill's calorie figures sit roughly an order of magnitude above the chain burger peers; the comparison is included for context, not to suggest equivalence — these are different categories of restaurant.

About Heart Attack Grill

A single Las Vegas restaurant built around a deliberately controversial concept.

Heart Attack Grill was opened by Jon Basso in Tempe, Arizona in 2005 as a hospital-themed American burger restaurant. The original concept — patients, nurses, hospital gowns, oversized portions, calorie-as-marketing — has been consistent since opening. In 2011 the restaurant moved to its current home on the Fremont Street Experience pedestrian mall in downtown Las Vegas, where it operates today as a single full-service location and a recognizable Vegas tourist landmark.

The menu is short and built around the Bypass Burger lineup — Single through Octuple — plus Flatliner Fries cooked in pure lard, butterfat-rich whole-milk milkshakes, hot dogs and old-school sundaes. Mexican Coca-Cola in glass bottles and domestic beer cover the drinks list. The kitchen does not pretend the food is healthy; calorie counts are published openly, and the Quadruple Bypass Burger's roughly 9,983-calorie figure is the restaurant's most-cited number.

The brand has drawn substantial public criticism. Two unofficial spokesmen — Blair River and John Alleman — died in the early 2010s after extended association with the restaurant, and several customer cardiac events have occurred on premises and been widely reported. Basso has discussed these incidents in interviews and used them as part of the restaurant's marketing posture — a position he has defended as deliberately provocative satire of American eating habits, and that critics have called exploitative. The Las Vegas restaurant remains independently owned and operated; there are no franchises and no other locations.

2005Founded (Tempe, AZ)
2011Moved to Las Vegas
1Operating location
~9,983Quadruple Bypass calories
Signature spotlight

The items that define the Heart Attack Grill menu

Six items most associated with the restaurant — what to know before ordering.

$26.00 · ~9,983 cal

Quadruple Bypass Burger

The signature item. Four half-pound patties (two pounds of beef), American cheese, 20 strips of bacon, raw onion and tomato on a lard-cooked bun. The single most-photographed item on the menu and the dish nearly every coverage piece leads with.

$59.95 · ~19,900+ cal

Octuple Bypass Burger

Eight half-pound patties, 40 strips of bacon, four pounds of beef. Off-menu and not always available; pricing has been adjusted over time. Routinely the basis of "world's most caloric burger" coverage when active.

$6.00 · lard-fried

Flatliner Fries

Hand-cut fries cooked in pure beef tallow rather than vegetable oil. The lard-frying is the menu's defining preparation; the onion rings use the same fryer. Not vegetarian.

$10.00 · whole milk

Butterfat Milkshakes

Vanilla, chocolate or strawberry milkshakes hand-spun with whole milk and high-butterfat ice cream. Old-school soda-fountain presentation — thick, rich, deliberately overbuilt.

$5.00 · cane sugar

Mexican Coca-Cola (glass)

Full-sugar Mexican Coca-Cola in glass bottles — a long-standing part of the menu's old-school presentation alongside the fountain drink option.

$10.00 · footlong

Coronary Dog

All-beef footlong topped with bacon, chili, cheese and onion. The "smaller" alternative if a Bypass Burger is more than you want to commit to.

Location

Where to find Heart Attack Grill

Heart Attack Grill operates a single location at 450 Fremont Street, Las Vegas, NV 89101, on the Fremont Street Experience pedestrian mall in downtown Las Vegas. The restaurant is roughly four miles north of the Las Vegas Strip and sits in the heart of the downtown casino and tourist district, in walking distance of the Golden Nugget, Binion's, and the Fremont Street canopy light show.

There are no other operating Heart Attack Grill locations anywhere in the world. The original Tempe, Arizona restaurant closed when the operation relocated to Las Vegas in 2011. Confirm current hours via heartattackgrill.com before traveling.

  • Address: 450 Fremont Street, Las Vegas, NV 89101
  • Neighborhood: Fremont Street Experience, downtown LV
  • Distance from Strip: ~4 miles north
  • Format: Full-service single location
  • Other locations: None
  • Original location: Tempe, AZ (2005–2011; closed)
Health context

A brief, honest note on the calorie counts

The calorie content of the Bypass Burger lineup is genuinely extreme — the Quadruple Bypass at roughly 9,983 calories is approximately four days' recommended adult caloric intake in a single meal, and the Octuple at ~19,900+ calories is approximately eight days'. Multiple customer cardiac events have occurred at the restaurant over the years and the brand has used those incidents in its own marketing.

This page documents the menu as the restaurant sells it. Menupedia does not endorse the consumption of extreme-calorie meals; anyone with cardiovascular risk factors, diabetes, or who is on a medically supervised diet should consult a physician before consuming a meal of this caloric size, regardless of venue.

  • U.S. daily recommended intake: ~2,000–2,500 cal
  • Quadruple Bypass: ~9,983 cal (≈4 days)
  • Octuple Bypass: ~19,900+ cal (≈8 days)
  • Flatliner Fries side: ~1,000 cal additional
  • Butterfat shake: ~1,200 cal additional
Related on Menupedia

Compare with other American burger menus

If you're choosing between Heart Attack Grill and a more conventional burger restaurant — or planning a Las Vegas burger comparison — these are the closest peers on Menupedia.

Common questions

Heart Attack Grill menu — frequently asked questions

Quick answers to the questions people most often ask about Heart Attack Grill's menu, prices, the 350-lb policy, and the Fremont Street restaurant.

How much is the Quadruple Bypass Burger at Heart Attack Grill?

The Quadruple Bypass Burger is priced at approximately $26.00 at the Las Vegas restaurant as of May 2026. The burger is built from four half-pound seasoned beef patties (two pounds of beef total), American cheese, 20 strips of bacon, raw onion and sliced tomato on a bun cooked in beef tallow. The restaurant publishes a calorie estimate of approximately 9,983 calories for the item — among the highest-calorie single-serve burgers documented on a U.S. restaurant menu.

Is the 'over 350 lbs eats free' policy real at Heart Attack Grill?

Yes. Heart Attack Grill maintains a documented policy that any customer weighing more than 350 pounds receives their meal free of charge. The customer is weighed on a scale at the entrance, with the weigh-in performed visibly as part of the restaurant's theme. The policy has been continuously in effect since the chain's early years and is regularly referenced in coverage of the restaurant. Founder Jon Basso has stated publicly that the policy is genuine and is offered without time limit during operating hours.

Where is Heart Attack Grill located?

Heart Attack Grill operates a single location at 450 Fremont Street, Las Vegas, NV 89101, on the Fremont Street Experience pedestrian mall in downtown Las Vegas. The restaurant was originally founded in Tempe, Arizona in 2005 by Jon Basso and relocated to its current Las Vegas address in 2011. There are no other operating locations; the Las Vegas restaurant is the only Heart Attack Grill in the world.

How many calories are in a Heart Attack Grill burger?

Calorie counts are central to the restaurant's identity and are published openly on the menu. Approximate calorie figures: Single Bypass ~2,500, Double Bypass ~4,500, Triple Bypass ~6,000, Quadruple Bypass ~9,983, Octuple Bypass ~19,900+. By way of comparison, the U.S. dietary guideline daily intake for an adult is roughly 2,000–2,500 calories. Flatliner Fries cooked in pure lard add roughly an additional 1,000 calories per order.

Is Heart Attack Grill a tourist trap?

Heart Attack Grill is a destination tourist restaurant rather than a value dining option — that's by design. The restaurant sits on Fremont Street alongside other Las Vegas tourist attractions and is structured around a theatrical experience: customers are called 'patients,' issued hospital gowns to wear in the dining room, weighed at the door, addressed by waitresses dressed as nurses, and served oversize portions in a deliberately staged hospital setting. Whether that constitutes a 'tourist trap' depends on what you're looking for — the food is real and served as advertised, but the pricing and portions are built around the experience, not the calorie-per-dollar economics of a normal burger restaurant.

Have customers actually had heart attacks at Heart Attack Grill?

Several customer cardiac events have been documented at the restaurant over the years. Two unofficial spokesmen — John Alleman and Blair River — both died of medical conditions in the early 2010s after extended association with the restaurant, and additional on-premises cardiac incidents involving customers eating Triple and Quadruple Bypass Burgers were reported between 2012 and 2013. These events have been factually covered in mainstream press and the restaurant has at various times referenced them in its own marketing — a marketing posture that has drawn substantial public criticism. Anyone with cardiovascular risk factors should consult a physician before consuming an extreme-calorie meal regardless of venue.

What are Flatliner Fries?

Flatliner Fries are Heart Attack Grill's signature side: hand-cut potato fries cooked in pure beef tallow (rendered beef fat / lard) rather than vegetable oil. They are priced at approximately $6.00 per order and add roughly 1,000 calories. The lard-frying is not a marketing flourish — the restaurant uses pure rendered fat as the frying medium, which is why the fries are not vegetarian. Onion rings on the menu are also fried in the same lard.

Can children eat at Heart Attack Grill?

Heart Attack Grill is open to all ages and families are visibly present in coverage and customer photos. However, the dining-room experience includes adult-themed hospital-roleplay elements — gowns, scripted nurse-and-patient interactions, prominent calorie warnings framed as medical messaging, and alcohol service — that parents may want to evaluate before bringing young children. The restaurant does not maintain a separate kids' menu; smaller appetites can order the Single Bypass Burger or a hot dog.

Is Heart Attack Grill open every day?

Heart Attack Grill operates as a full-service single Las Vegas location and is generally open seven days a week, with hours that track Fremont Street's late-night tourist traffic — typically open through lunch and dinner, with late-evening service most nights. Hours are subject to change for private events and holidays. Confirm current hours via the official restaurant site (heartattackgrill.com) or by phone before traveling, particularly for late-night arrivals.

Who owns Heart Attack Grill?

Heart Attack Grill was founded and is owned by Jon Basso, who opened the original restaurant in Tempe, Arizona in 2005 and relocated the operation to Fremont Street in Las Vegas in 2011. Basso has been the public face of the brand since its founding and regularly speaks to media about the restaurant's deliberately controversial business model — he has consistently framed it as a satirical commentary on American eating habits while continuing to operate it as a profitable Las Vegas tourist destination. The restaurant remains independently owned; it is not part of a chain and there are no franchises.

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