In Boston, hot dogs are typically served steamed, unlike many other hot dog varieties which are grilled. These hot dogs are often served with baked beans, a true Bostonian staple. The buns should not be large, and they are traditionally cut on the side, so they are thinner and don't overpower the hot dog.

Sometimes, the buns are additionally griddled with butter. The most common toppings for Boston hot dogs include mustard, ketchup, chopped onions, and picalilli – a chunky relish made with pickled vegetables and various spices.