Real Meals Modified

Delicious recipes that meet IDDSI guidelines for Level 4: Pureed / Extremely Thick. These tasty recipes will help you enjoy food again!

Level 4: Pureed / Extremely Thick Testing and Description

Level 4: Pureed / Extremely Thick is appropriate for individuals who have reduced ability to chew or manipulate food in the mouth. Pureed foods must not be sticky and must not have any lumps at all. At this texture, you cannot drink the food through a straw or with a cup because it is too thick. The food may move if you tip the plate or bowl, but cannot be poured.

Foods at this level must fall off a spoon when tilted or flicked lightly, but must not drip through the tines of a fork. We recommend watching IDDSI’s Youtube video of the Spoon Tilt Test before you cook as well as during the testing of your final modified portion.

Always test your food before serving to ensure that it meets all the IDDSI testing guidelines.

Level 4: Pureed / Extremely Thick Recipes

Level 4: Puree Chicken Pot Pie

This Level 4: Puree Chicken Pot Pie is so delicious! Even without the traditional crust, you'll get all the wonderful, crave-able flavors of chicken pot pie.

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