Pretty much. You start with a ball of burger meat. Then, use your spatula and a heavy can to smash the ball on the griddle. You can make them as thin or thick as you'd like. The basic difference is that the edges aren't smoothed out, like a regular patty, so they get crispy. A tip - oil the bottom of the spatula first, so the meat doesn't stick to it and you get a good release after you smash it.