The name has to be sarcastic. Supposedly it's named for pastrami-topped foodstuffs in Southern California, but it's hard to imagine this monument of meat having many takers in the land of fish tacos and juice cleanses. Ten Bells Tavern's burgers are already plenty big (and delicious) without the addition of smoked cheddar, Swiss, a mound of pastrami and an entire hot link. But the add-ons make this $14 burger (with fries) over-the-top in terms of messiness, unhealthiness and tastiness. And you can feel good about eating it, because it's going to help you put your cardiologist's kids through college. The cholesterol and sodium are in a race to see which one has you clutching your left shoulder first.