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Home / Restaurants /

Heart Attack Grill Menu, Prices, & Hours (Las Vegas Restaurant)

Bryan Mullennix Updated onOctober 12, 2023
Heart Attack Grill Menu, Prices, & Hours (Las Vegas Restaurant)

Have you ever wanted to eat a 20,000-calorie burger served by a waitress in a nurse’s outfit? Do you love greasy cheeseburgers and wine served in an IV bag? Then the Heart Attack Grill in downtown Las Vegas, Nevada, is the place for you!

You can live large at the grill, which serves excessively high-calorie hamburgers, fries, and shakes. This controversial Vegas eatery has made headlines for years due to its unhealthy food and humorous name. It is open from 11 am to 10 pm, and individual items run between $7-$33 each.

Keep reading to learn more about one of the most interesting places to eat in Sin City, its history, what to eat while you’re there, how much it will cost you, and how you can eat for free. Plus, you won’t want to miss the photos!

What Kind of Restaurant Is It?

The Heart Attack Grill (HA Grill) is a hamburger joint located downtown on Fremont St. It is a hospital-themed restaurant that serves hamburgers, hot dogs, and fries that come in at a whoppingly high-calorie count.

Customers are “patients” and receive a hospital gown when they first arrive. From there, “nurses” serve the food and will even publicly spank patients who don’t finish their food.

Putting on a hospital gown at Heart Attack Grill
The first thing that happens after entering is a nurse outfits “the patient” in a hospital gown to be “admitted.”

The diner boasts about its unhealthiness. The owner Jon Basso refers to himself as the “Chief Surgeon.” Jon (who is not a real doctor, by the way) has been very vocal about fast food and the adverse effects it has on people’s health.

Check out this fun place to eat downtown.

Having said that, the artery-clogging good time provided by this unique spot to eat makes it a standout for tourists. The gluttony of the patrons is on full display, and everyone revels in the experience.

Cost to Eat at This Unique Restaurant

"Patients" at the Heart Attack Grill restaurant on Fremont Street in downtown Las Vegas
“Patients” enjoying a bite at the unhealthiest diner on the planet.

On average, it costs $25.40 for an individual to eat at the grill. This price includes a Double Bypass Burger, a side of fries, and a milkshake. The costs can go up from there if you want a bigger burger or choose to add alcohol or jello shots to your tab.

Menu & Prices at The Heart Attack Grill (Heavy on the Lard)

The dining options are all heart attack-themed, and the stars of the food choices are the many Bypass Burgers. These range from the Single Bypass, which has one patty, to the Octuple Bypass, which has eight patties.

If calories are your goal, you can’t go wrong with the Octuple, which comes in at nearly 20,000 calories.

Heart Attack Grill menu page one
The Heart Attack Grill has a simple list of offerings. The menu’s first side offers burgers and sides like flatliner fries.

Note: Click here to download a PDF of the complete menu (303 kb)

Burgers & Prices

The price of your Bypass Burger will be decided by how many beef patties you want.

  • Single Bypass – $12.78 (add 5 bacon slices for $0.92)
  • Double Bypass – $16.19 (add 10 bacon slices for $2.08)
  • Triple Bypass – $19.56 (add 15 bacon slices for $3.00)
  • Quadruple Bypass – $22.93 (add 20 bacon slices for $3.93)
  • Quintuple Bypass – $25.37 (add 25 bacon slices for $4.85)
  • Sextuple Bypass – $29.06 (add 30 bacon slices for $5.78)
  • Septuple Bypass – $31.46 (add 35 bacon slices for $6.70)
  • Octuple Bypass – $33.77 (add 40 bacon slices for $7.62)

No main dish would be complete without sides. You can enjoy a ½ pound (⅕ kg) coronary dog, some fries with or without chili, and onion rings. All sides are deep-fried in pure fat. A pack of no-filter cigarettes to go is also an option.

Of course, you’ll also need a beverage to wash down all those calories. You can choose an ice cream float or a classic milkshake, but the whipped vodka is optional.

Heart Attack Grill dessert and drink menu
The menu’s flip side offers alcoholic beverages (including beer, wine, jello shots, etc.), sodas, milkshakes, and more.

You can also choose one of the many alcoholic beverages offered. Beers include:

  • Modelo
  • Stella Artois
  • Pabst Blue Ribbon (classy huh?)

If you are feeling dehydrated, you can also get your red or white wine in an IV bag. There are also various spirits and liquors to choose from, but if doing straight shots isn’t your thing, you can get a Jello shot from a nurse that comes in a syringe and is ready to shoot into your mouth.

You can also add a side to your feast for less than $10 (except for the dog).

  • Flatliner Fries – $2.21
  • Chili Fries – $7.00
  • Onion Rings – $8.86
  • Coronary Dog – $12.78 (add bacon for $0.92)
Watch this guy eat the 20,000 calorie “Octuple Bypass” in record time! Now that’s a burger! I’m feeling a little sick just watching this. Unbelievable!

Family-friendly beverages range from $2.50 to $7.00.

  • Bottled Water – $2.54
  • Soda – $2.54
  • Dole Whip – $7.00
  • Milkshake – $7.00

The alcoholic beverages are a little more expensive, ranging from $5.54 to $17.32.

Heart Attack Grill milkshake with brownies and a pat of butter
I ordered a chocolate milkshake that came covered in brownies with a pat of butter on top. It was delicious!
  • Beer – $5.49 – $6.46
  • Jello Shots – $6.55
  • Wine – $18.45
  • Monster Shots 3.4 oz (100.6 mL) – $18.45
    • Jose Cuervo TequilaJack DanielsTitos Vodka
    • Whipped Cream Vodka
    • Malibu Rum
    • Captain Morgan
    • Fireball

If you want a souvenir to take home, t-shirts are $23.80.

Important Note: Be sure to stop at the ATM before you visit because this cafe is cash only.

Famous For the Quadruple Bypass Burger Menu Item

The Quadruple Bypass Burger and the Octuple Bypass are two of the most notorious items at the world’s unhealthiest eatery and are famous for their extremely high-calorie content. Here’s some information about these monstrosities:

  1. Quadruple Bypass: Consists of four beef patties weighing a total of around 2 pounds (0.9 kg). It is topped with cheese, bacon, onions, and the restaurant’s signature high-fat sauce. It is served on a bun that is buttered and grilled. This hamburger contains almost 10,000 calories.
  2. Octuple Bypass: As the name suggests, this cheeseburger takes the concept to the extreme. It is essentially eight patties stacked together, weighing approximately 4 pounds (1.8 kg). It is also garnished with cheddar, bacon, onions, and the same high-fat sauce served on a grilled bun.

These beefburgers are offered as part of the grill’s “Bypass” line of food items, which are named after heart-related medical procedures. These beef towers have gained notoriety for their super-size and indulgently unhealthy (but delicious) contents.

It is essential to note that consuming such large quantities of food, especially high-fat items, can pose a serious health risk over time. Having said that, one time probably won’t kill you, though, right?

guinness world record certificate for the Quadruple Bypass Burger at the Heart Attack Grill
The Quadruple Bypass holds the Guinness World record for the world’s “most calorific burger.”

In case you’re wondering if the HA Grill is the real deal when it comes to the over-the-top calorie counts, this certificate (image above) from Guinness World Records is proudly displayed on the wall. It shows that the Quadruple Bypass is a whopping 9,982 calories and weighs over 3 lbs!

Just reading the calorie count on the certificate above is enough to give you heart palpitations.

RELATED: 9 Best Cheap Eats in Downtown Vegas

Getting Spanked at The Heart Attack Grill

One of the caveats for eating here (which you have to agree to before ordering) is that if you don’t finish your dinner, you will receive a public spanking.

An unfinished burger at Heart Attack Grill means a public spanking is in order
Oh, oh, somebody bit off more than they could chew and couldn’t finish their meal. The watchful nurses will make sure this patient receives their medicine.

Anyone not cleaning their plate has to hold onto the flogging bar and bend over to receive their swats.

heart attack grill spanking
A “patient” receives a spanking from a nurse after not finishing their meal. Of course, every other patient in the place is whooping and hollering.

You Can Eat For Free If You Weigh Enough

One of the most famous claims of the HA Grill is that all customers who weigh over 350 lbs (136 kg) and are willing to prove it via a weigh-in on their giant scale eat for free!

So the deal is that if you weigh over 350lbs and are willing to publicly weigh yourself in front of a rowdy crowd on a scale made for animal livestock, you can, in fact, eat for free.

Man checking his weight on the scale outside of the Heart Attack Grill in Las Vegas
You can eat for free if you weigh 350 lbs or more. There’s a scale inside for getting an official weight with a nurse in front of the other patrons. There is also a scale outside (pictured) for checking your preliminary weight. Unfortunately, this guy didn’t make the cut and will have to pay for his food.

If you qualify, you can have an unlimited number of free Single Bypass hamburgers, but you’ll need to order a drink with each one. To-go orders and meal-sharing are not allowed with this deal.

Can You Make Reservations?

Reservations are not accepted here. It is first come, first served. You shouldn’t have much trouble getting in with a small party during the week, but during busy weekends or with large groups, you may want to eat at slightly off normal eating times when it’s less busy.

Cash Only

It’s important to note that this establishment only accepts cash. No debit or credit cards will be taken. The grill jokes that the joint is “Cash only because you might die before the check clears.”

You can find an ATM machine nearby at the Fremont St. Experience before you head inside. You can see directions to the closest ATM machine here (