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Mix the dry ingredients in a large bowl. Add the cream and stir to combine.
When most of the cream is absorbed, turn the dough out onto a flat surface and roll to about 1-inch thickness.
Cut into six large biscuits, brush tops with melted butter and bake on a sheet tray (ungreased) for about 15 minutes at 400 F.
Heat the fat in a sauté pan. Add the onions and garlic. Sweat until soft. Chill.
Add all the ingredients, including cooled onion and garlic mixture, to a bowl. Mix well to incorporate all the spices. Add the water and mix again.
The finished mixture should be a little sticky. Chill. Make into patties.
Add 1 tablespoon butter to a large sauté pan and sauté the sausage patties. Remove and set aside in a warm place.
Add the other tablespoon of butter to the pan and crack the eggs, season with salt and pepper. Cook for 1-2 minutes then flip. Top each egg with grated cheese. Cook for another 2-3 minutes.
Cut the biscuits in half. Place a sausage patty on the bottom half. Top with the egg and cheese. Add hot sauce to taste and serve.