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Grate the apple on the fine holes of a box grater, then squeeze the grated apple firmly in a clean kitchen towel or several layers of paper towel until most of the liquid is removed — the apple should feel nearly dry. This keeps the patties from steaming instead of browning.
Combine the ground chicken, squeezed apple, sage, thyme, garlic powder, onion powder, black pepper, cinnamon, nutmeg, red pepper flakes (if using), and salt in a large mixing bowl. Mix with your hands until the seasonings are evenly distributed, about 30 seconds — do not overwork the mixture.
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