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Sai Oua is an iconic Northern Thai sausage from Chiang Mai, renowned for its intensely aromatic and herbaceous flavor profile. This coarsely ground pork sausage is infused with a fragrant curry paste of lemongrass, galangal, turmeric, kaffir lime leaves, and fresh herbs. Traditionally grilled over charcoal and served as a coil, the sausage delivers strong, balanced flavors of citrus, peppery galangal, and moderate heat from dried chilies. The word 'oua' means to fill or stuff, and 'sai' means intestine, literally translating to 'stuffed intestines.' This beloved street food is a standard of Northern Thailand's culinary tradition, typically enjoyed with sticky rice and fresh vegetables.
Remove stems and seeds from dried chilies. Soak them in hot water for 10 minutes to rehydrate. Drain and roughly chop the softened chilies.
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Preheat oven to 170°C (340°F). Spread garlic, turmeric, shallots, galangal, and lemongrass on a baking tray. Roast for 10-15 minutes until soft and fragrant. Allow to cool before proceeding.
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Using a large mortar and pestle, pound the chilies first until broken down into a rough paste. Add ingredients one at a time in this order: lemongrass, coriander root, galangal, turmeric, shallots, garlic, makrut lime leaves (10 pieces), shrimp paste, palm sugar, and fish sauce. Pound each ingredient thoroughly until fully incorporated before adding the next. Continue until you achieve a thick, uniform, aromatic paste. Alternatively, use a food processor, but the texture won't be as authentic.
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Place meat grinder parts (including the large cutting die), stand mixer bowl, and paddle attachment in the freezer for at least 30 minutes. Cut pork shoulder and fatback into chunks suitable for grinding. Place meat on a sheet pan and freeze for 30-60 minutes until firm but not frozen solid. This ensures clean grinding and prevents fat from smearing.
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Using the chilled large die (coarse grind), grind the pork shoulder and fatback together into a bowl set over ice. For authentic texture, grind only once through the large die - this keeps fat and meat separate and gives the characteristic chunky texture.
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To the ground meat, add the prepared curry paste, chopped makrut lime leaves (6 pieces), fresh cilantro leaves, curry powder, and salt. Using the chilled stand mixer with paddle attachment on low speed, mix until everything is evenly distributed and well combined, about 1 minute. Alternatively, knead by hand until the mixture becomes sticky and uniform, typically 3-5 minutes.
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Form a small patty (about 2 tablespoons) of the mixture and cook it in a skillet over medium-high heat until cooked through. Taste and adjust seasonings as needed - add more salt, fish sauce, or Thai chili powder to reach desired flavor and heat level.
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Thoroughly rinse hog casings under cold running water. Soak them in a bowl of cold water for at least 30 minutes to make them pliable. Run water through each casing to check for holes and ensure they're clean inside.
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Using a sausage stuffer, carefully fill the prepared casings with the pork mixture. Avoid air pockets by working slowly and steadily. Don't overstuff - leave some room as the sausage will expand during cooking. You can form individual links by twisting at intervals, or create one long coil (traditional). If making a coil, secure it with two perpendicular skewers through the center to hold its shape.
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Prepare a charcoal or gas grill for medium-high direct heat. If using charcoal, light about 3/4 chimney of coals until ash-covered, then arrange evenly. Oil the grate well. Place the sausage(s) on the grill and cook, turning frequently, until well browned and slightly charred on all sides with an internal temperature of 155-160°F (68-71°C). This takes approximately 10-20 minutes depending on thickness. For best results, grill slowly over steady medium heat to prevent bursting.
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Remove sausages from grill and let rest for 5 minutes. If you made a coil, remove the skewers. Slice on the bias into 1-inch thick pieces. Serve immediately while hot alongside sticky rice, fresh sliced vegetables (cabbage leaves, cucumber, long beans), sliced bird's eye chilies, and hot mint.
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Per serving
The traditional and essential accompaniment
Cabbage leaves, cucumber slices, long beans, and fresh chilies provide cooling contrast
Northern Thai green chili dip pairs beautifully
Green papaya salad adds acidity and crunch
Chang or Singha beer complements the spicy, rich flavors
Fresh herb that balances the heat and richness
Sai Oua is a beloved culinary icon of Northern Thailand, particularly associated with Chiang Mai and the Lanna Kingdom region. The word 'sai' means intestine and 'oua' means to fill or stuff, literally translating to 'stuffed intestines.' This sausage has deep roots in the culinary traditions shared between Northern Thailand and Laos, where it's also extremely popular. The dish reflects the region's abundance of aromatic herbs and the influence of neighboring Myanmar and Laos. In Chiang Mai markets and street stalls, vendors display the sausages coiled in large spirals and grill them fresh to order over charcoal. The dish has become so popular that it's now found throughout Thailand, though the most authentic versions remain in the North. Traditionally, Sai Oua was made during festivals and special occasions, with families gathering to make large batches. The fermented version popular in Laos represents an older preservation technique from times before refrigeration.
Authentic Sai Oua is distinguished by several key characteristics: the use of a mortar and pestle to pound the curry paste, which releases more aromatic oils than mechanical blending; a coarse, single grind that keeps fat and meat visibly separate; the essential inclusion of galangal, fresh turmeric, and makrut lime leaves (not substitutable); the funky depth from shrimp paste and fish sauce; traditional formation as a large coil rather than individual links; and slow grilling over charcoal for smoky flavor and slight char. The sausage should be intensely aromatic with strong notes of lemongrass, galangal, and lime, with moderate heat that doesn't overwhelm the herbal complexity. It's served simply with sticky rice and fresh vegetables - no dipping sauces needed as the sausage itself is fully flavored. In Chiang Mai, you'll find vendors grilling these sausages at markets throughout the day, with the smoke and aroma drawing customers from blocks away. The texture should be chunky and rustic, not smooth or emulsified like Western sausages.
ข้าวซอย
Northern Thai coconut curry noodle soup topped with crispy egg noodles. A signature dish of Chiang Mai featuring a rich, creamy coconut curry broth with both soft boiled noodles and crispy fried noodles on top. The dish is characterized by its complex flavor profile balancing savory, salty, sour, and sweet elements, with traditional accompaniments of pickled mustard greens, shallots, and lime.
จิ๊นส้มหมก
Jin Som Mok is a traditional Northern Thai dish featuring fermented pork (jin som or naem) wrapped in banana leaves and grilled to perfection. The dish combines the tangy, complex flavors of fermented pork with the aromatic essence of banana leaves, creating a distinctive taste that represents the heart of Lanna cuisine. Often prepared with eggs, this grilled delicacy showcases the ancient art of meat preservation through fermentation, a technique that has been passed down through generations in Northern Thailand.
ขนมจีนน้ำเงี้ยว
Northern Thai rice noodles served with a rich, spicy, and tangy tomato-based curry broth featuring pork ribs, blood tofu, and the distinctive flavor of dok ngiew (red kapok/cotton tree flowers) and fermented soybeans. This signature dish of Chiang Mai and Northern Thailand is characterized by its complex umami-rich broth with a vibrant red color, combining savory, sour, and spicy elements. The dish showcases Tai Yai culinary traditions and is traditionally served with an array of fresh vegetables, pickled greens, and crispy pork rinds.
ลาบหมูเมือง
Laab Moo Muang is an authentic Northern Thai minced pork dish that differs dramatically from the better-known Isaan-style laab. Also called laab kua or laab neua, this dish is characterized by its complex dried spice blend (prik laab) featuring ingredients like long pepper, Thai prickly ash, star anise, and cumin - a legacy of Northern Thailand's position on historic spice trade routes to China. Unlike its citrus-bright Isaan cousin, Northern laab contains no lime juice or toasted rice powder. Instead, it's stir-fried in a wok with an aromatic spice paste and traditionally includes blood and offal for authentic richness. The result is a deeply spiced, savory-sweet meat preparation with warming notes and a distinctly earthy character that embodies the Lanna Kingdom's culinary heritage.