Make the biscuits (or warm store-bought): Preheat oven to 425°F (220°C). In a bowl, whisk flour, baking powder, baking soda, salt, and sugar.
Cut in cold butter with a pastry cutter or your fingertips until pea-sized bits form. Stir in buttermilk just until it comes together. Turn the dough onto a floured surface, pat into a 3/4-inch slab, fold it over itself 2–3 times for layers, then cut 4 biscuits with a 2.5–3-inch cutter.
Place on a parchment-lined sheet, brush tops with buttermilk, and bake 12–15 minutes until golden. Cool slightly.
Cook the sausage: Heat a skillet over medium. Add sausage patties and cook 3–4 minutes per side until browned and cooked through.
For crisp edges, don’t move them too much. Transfer to a plate and keep warm.
Soft-scramble the eggs: Whisk eggs with milk, a pinch of salt, and pepper. Melt butter in a nonstick skillet over low to medium-low heat.
Pour in eggs and stir slowly with a spatula, pushing from the edges toward the center. Cook until just set and glossy. Remove from heat; they’ll firm up slightly as they rest.
Melt the cheese: Place a slice of cheese on each sausage patty while still warm, or layer the cheese directly on the warm biscuit base so it softens into the eggs.
Warm and split the biscuits: If your biscuits cooled fully, pop them back in the oven for 2 minutes.
Split gently with a serrated knife. Brush cut sides with a little melted butter for extra flavor.
Assemble: On the bottom half of each biscuit, place the cheesy sausage patty, top with a quarter of the soft-scrambled eggs, and finish with the biscuit lid. Add hot sauce, honey butter, or greens if you like.
Serve: Enjoy immediately while warm and fluffy.
Pair with coffee, orange slices, or a simple side salad.