It looks like a regular Krabby Patty but is gigantic in size. The amount of meat in the patty is so great that normal size spatulas cannot flip it. It also looks like it cannot fit in someone's mouth.
Role in episode
Squidward says that no one has ordered a monster Krabby Patty in ages after a customer decides to order one. When SpongeBob tries to flip the patty, his spatula is broken in half and is taken to the hospital.
When Spat is fixed, another customer orders a monster Krabby Patty but Spat does not break this time. Instead, SpongeBob's arms break off.