Make sausage into 12 balls and brown; cook thoroughly. Wrap balls in dough made from pie crust. Bake at 400? for 10 minutes. While baking, saute onions in sausage grease until brown. Add flour and water to make gravy. Season to taste with salt and pepper. Pour gravy over dumplings and serve.
Source: "Mountain Measures" --Junior League of Charleston, WV ed. 1974