I have no issue doing 2 grinds, but most times I do a single pass unless I'm making chicken sausage from thighs with skin and all going through. The skin likes to hang up behind my medium plate and jam things up, so I run once through the 8mm and run again through the 4.5mmI see all these youtube videos with effortless second grinds, I thought for doing sausage a second grind was important?
A second (and maybe a third) grind would come into play with running a fine plate for hotdogs and other emulsified sausage as well, but for the most part, one pass through the grinder.