IDDSI Level 4 Pureed recipes are smooth, thick, and hold their shape on a spoon. They don’t need chewing, but still have the depth of flavor of the foods they’re made from. I also include ideas for plating to keep the same pride and enticement to the dish, no matter the texture. Browse the recipes below, and learn more about Pureed textures in my post on IDDSI Levels.
1
IDDSI Level 4 Pureed Spiced Maple Sweet Potato Casserole Recipe
The inspiration behind this pureed dish stems from my years of working with patients and their families who longed to enjoy food experiences that were as rich and complex as their memories of holiday dinners and special gatherings. The smooth and airy quality of sweet potato mousse, complemented by the nostalgia of marshmallow fluff and the elevated touch of spiced maple syrup, makes this dessert a showstopper.
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2
IDDSI Level 4 Pureed Chicken Mole Recipe
Mole is a dish that has been celebrated in Mexican cuisine for generations, often reserved for holidays and special gatherings. The combination of savory and sweet, along with a touch of chocolate, creates a sauce that is both intriguing and comforting. This pureed recipe captures the essence of traditional chicken mole while streamlining the process to make it more approachable. It’s a dish that brings warmth, history, and a bit of adventure to the table, with an aromatic sauce that pairs beautifully with tender chicken.
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3
IDDSI Level 4 Pureed Dal Garden Curry Recipe
Dal is a staple dish in many South Asian households, known for its warm, comforting flavors and nourishing qualities. Made with lentils simmered in aromatic spices, dal is versatile and can be customized with different vegetables and flavors. It’s a simple dish yet deeply satisfying, often enjoyed with rice or flatbread. This recipe includes IDDSI modifications to make it accessible to everyone, ensuring that all can experience the richness of this traditional dish.
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4
IDDSI Level 4 Pureed Chocolate Peanut Butter Banana Nice Cream Recipe
This Chocolate Peanut Butter Banana Nice Cream is creamy, naturally sweet, and packed with the flavors of chocolate and peanut butter. The frozen bananas create a soft, ice-cream-like texture that’s both indulgent and healthy. While ice cream transforms to potentially unsafe consistencies, everyone can enjoy this satisfying treat that combines the classic flavors of chocolate, peanut butter, and banana in a refreshing dessert that’s easy to make and enjoy.
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5
IDDSI Level 4 Pureed Lemon-Thyme Berry Chia Pudding Recipe
This dessert layers creamy lemon-thyme chia pudding with a luscious berry fool topping, adding an extra layer of richness and fruity flavor. Check out the modifications below the recipe for customizing IDDSI-level, style of eating, or energy levels!
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6
IDDSI Level 4 Pureed Maple Cream of Wheat with Warm Spiced Pineapple Recipe
The creamy, maple-infused cream of wheat pairs beautifully with the warm, spiced pineapple, creating a satisfying contrast of flavors. The combination of cinnamon, nutmeg, and ginger complements the tart sweetness of pineapple, making this dish both comforting and refreshing. Whether as a breakfast or a dessert, this bowl is a cozy, tropical escape!
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7
IDDSI Level 7 Easy to Chew Chili Cheese Burritos Recipe
Chili cheese burritos are comforting, hearty, and full of flavor. The savory chili paired with a creamy cheese sauce creates a balanced, satisfying bite in every mouthful. With IDDSI adjustments, this dish can be enjoyed safely by everyone, from pureed levels to soft, chewable bites. The flavors and textures of a classic burrito are captured in a safe, adapted way, making this a versatile, crowd-pleasing meal for all.
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8
IDDSI Level 4 Pureed Peanut Butter Chickpea Cookie Dough Recipe
Safe to eat, no-bake, and rich in protein, this creamy “cookie dough” is a feel good treat that works for a variety of dietary needs and texture levels.
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9
IDDSI Level 4 Pureed Salted Caramel Banana Pudding Recipe
Banana pudding is a beloved dessert with roots in Southern cuisine, known for its comforting, layered goodness. This version adds a twist with salted caramel, infusing each bite with a perfect balance of sweetness and a touch of salt. The contrast between the velvety pudding, ripe bananas, and the smooth, rich caramel creates a dessert that is as sophisticated as it is familiar. It’s a dish that’s perfect for potlucks, special occasions, or anytime you need a taste of nostalgia with an upscale flair.
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10
IDDSI Level 4 Pureed Baba Ghanoush Recipe
Baba ganoush is naturally creamy and flavorful, making it a perfect dish for IDDSI modification. The smoky eggplant, rich tahini, and zesty lemon bring out a balanced, complex flavor profile that’s satisfying for anyone following texture-modified diets. With slight adjustments to smoothness and consistency, baba ganoush becomes a versatile dish that’s suitable across IDDSI levels, offering both flavor and flexibility. Whether served as a dip, spread, or side, this adapted baba ganoush recipe is a delicious, inclusive option for safe, enjoyable dining.
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11
IDDSI Level 4 Fromage Fort Recipe
The beauty of fromage fort is in its flexibility. Whether you have soft, semi-hard, or hard cheeses, they can all be used, provided you blend them thoroughly for a smooth and cohesive texture. This spread can range in flavor from mild and creamy to strong and tangy, depending on the cheeses used. It’s a perfect accompaniment to a charcuterie board, as a dip, or even melted over vegetables and meats. By modifying the preparation, fromage fort can be made IDDSI-compliant, ensuring that everyone can enjoy this unique and comforting spread.
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12
IDDSI Level 4 Pureed Butternut Sage Risotto Recipe
Butternut Sage Risotto is a warm, creamy dish that pairs the natural sweetness of roasted butternut squash with the earthy flavor of fresh sage. This rich, comforting meal is perfect for autumn evenings or as an elegant side dish. With IDDSI modifications, this risotto can be enjoyed by everyone, ensuring that the comfort of a classic risotto is accessible to all.
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13
IDDSI Level 4 Pureed Creamy Artichoke and Greek Yogurt Dip Recipe
This creamy artichoke dip blends tangy Greek yogurt with dill-infused olive oil, balsamic vinegar, and lemon for a savory, herbaceous spread or sauce. With a smooth texture and easy adaptability, it’s perfect for texture-modified diets or anyone looking for a flavorful, veggie-forward dip.
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Learn More About Texture Modification
Every recipe here is designed for texture sensitive eaters: from dysphagia to dental issues to picky eaters. Get recipe roundups and practical tips by joining the mailing list.