Add 2 quarts of fresh elderberries to pot with 1/4 cup of water.
Let berries simmer over medium-low heat until soft. Use a potato masher to smash berries and release juices.
When berries are soft and have released juices remove from heat and strain juice through a sieve.
Measure the amount of juice you have and return to pot.
Add ginger root, cinnamon sticks, cloves, and nutmeg.
Simmer over medium-low heat until juice is halved.
Remove juice from heat and strain again. Measure juice.
Add the same amount of honey as you have juice and stir until combined.
Bottle and store in fridge using as needed by the teaspoonful.
Ideally, this should be used within 3 months; however, with the amount of honey in it mine has kept for quite a few months. Use your best judgment.