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In a large bowl, mix together the ground chicken, onion, breadcrumbs, egg, garlic, salt, and pepper. Shape the chicken mixture into 4 even patties. Using your thumb, press a divot into the center of each patty to help prevent it from puffing up during cooking.
Preheat a grill or large skillet over medium-high heat. Brush the grill grates with the oil or add the oil to the skillet and tilt the skillet to evenly coat the bottom. Cook the chicken patties, in batches if needed, until browned and cooked through (reaching an internal temperature of 160°F), 3 to 4 minutes on each side. If topping burgers with cheese, place 1 slice of cheese on each patty during the last minute of cooking.
Serve patties on hamburger buns with desired toppings.