Combine all of the ingredients except the vinegar and water into a large bowl. Toss thoroughly to combine.

Grind the pork mixture through the small die plate into your chilled mixing bowl or a bowl that is sitting over ice.

Pour the water and the vinegar into the ground meat mixture.

Using your stand mixer's paddle attachment (or a sturdy spoon), start mixing the ground pork at a low speed. Mix until the liquids are fully combined and the meat has a tacky/sticky appearance. This can take around 2 minutes.

Check for Seasoning: ​Fry a small piece of the sausage and taste. Now is the time to add seasoning as you see fit. This could be more salt, red pepper flakes or any other seasoning you see fit. Repeat until you are satisfied with the finished product.

Refrigerate until needed or freeze for future use.