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In a large bowl, mix together salmon, egg, almond meal, harissa, garlic, onion, and lime. Form the mixture into 4 burger patties.
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In a small dish, stir together coconut cream, lime, salt, and dill for ranch. Set aside.
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Heat coconut oil in a large skillet over medium-high heat. Cook for 2-3 minutes on each side, or until golden and crispy.
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Top with ranch and enjoy!