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Mix pork sausage, slightly beaten egg, bread crumbs, and sage together in mixing bowl. I mix it with my hands because it is easier.
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Shape into approximately 2 dozen balls.
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Put in ungreased frying pan. Brown slowly about 15 minutes. Pour off fat.
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In separate mixing bowl, combine ketchup, brown sugar, vinegar, and soy sauce and mix.
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Put pork sausage balls in slow cooker and cover with sauce.
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Cook on low for 6 to 8 hours.
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(If you don't have a slow cooker) Combine sauce and balls in pot. Cover and simmer for 30 minutes on stove.