Due to the large German immigration to South Australia (for example, the town of Hahndorf), mettwurst (sometimes spelled metwurst) is very common and is created in the North German style.
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The town of Mineola, Iowa, which was settled almost exclusively by immigrants from Schleswig-Holstein, hosts an annual heritage dinner with "Schoening-style" cold-smoked Mettwurst known in the Low German dialect as "Metvuss".