In Australia, you can get Chicken Tandoori at McDonalds. The McKebab is on the menu in Israel. Your McDonalds chicken sandwich can be served with salsa -in Japan! Will Work for Food has a roundup of different items McDonalds offers in countries around the world.
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There's also a line of healthy items, with a Lean Beef Fillet Burger that's like a Quarter Pounder without moisture.