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Preheat oven to 375°F.
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Place hazelnuts on baking sheet and toast in the oven for 5-7 minutes.
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Remove from oven and place hazelnuts in a clean towel. Vigorously roll the hazelnuts around in the towel to remove most of the skins.
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Place quinoa in a large saucepan. Add water and salt. Bring to a boil, reduce heat to low, cover and simmer for 20 minutes (without stirring).
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Place toasted hazelnuts, sunflower seeds, sesame seeds, cumin and oregano in food processor and grind to medium-coarse or desired texture.
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In large bowl, combine 1 cup of the cooked quinoa (you will have plenty of leftover quinoa to save - always make more than you need!), the ground nut mixture and the carrot.
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Combine ingredients and slowly add the tomato sauce until the mixture becomes somewhat sticky. Add salt and pepper to taste.
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Form the mixture into patties (about ½-inch thick) and refrigerate, freeze, or cook right away.
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When you cook the patties, heat a small amount of coconut or sunflower oil in a skillet and cook on medium-high heat for ~2 minutes on each side (longer if frozen).