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Regular menu items in Japanese McDonald's include: the Teriyaki McBurger, with ground pork patties, mayonnaise, lettuce, and teriyaki sauce; Shaka Shaka Chicken, a fried chicken strip served in a paper pouch, with cheese or pepper seasonings to shake in the bag; and the Fillet-O-Ebi (shrimp), with a fried shrimp patty and mustard. Breakfast options include a hot dog with pickle relish, ketchup, and mustard.

Seasonal and limited-time items have included:

The Chicken Katsu Burger, a breaded chicken sandwich flavored with soy sauce and ginger.

The Gratin Korokke Burger, a sandwich with korokke (breaded mashed potatoes) filled with shrimp, macaroni, shredded cabbage, and katsu sauce, and optional cheese; served during winter

The Salsa Burger, a breaded chicken sandwich with salsa

The Tamago Double Mac, a hamburger with three beef patties, pepper sauce, bacon, a poached egg, and optional cheese

The Teri Tama Burger, a teriyaki burger with egg; served during spring

The Tsukimi Burger ("moon-viewing burger"), a hamburger with one beef patty, fry sauce, bacon, a poached egg (representing the Moon), and optional cheese; served before and during Tsukimi season

Ume Nuggets, Chicken McNuggets with sour ume (plum) sauce for dipping

The Mega Teriyaki, a teriyaki-style Big Mac variant with two pork patties and teriyaki sauce