They are not so healthy if you spread the bread with lots of butter or margarine, so I usually don't use either. Sometimes I use olive oil - you can spread it thinly with a butter knife or use a spray type oil. But mostly I don't use any kind of fat or oil at all. Very healthy!
I don't like the translation 'hot sandwich' because to me it seems that you have a usual sandwich that is hot. For example, like a sandwich you buy at Seven Eleven and they put it in the microwave oven for you.
Today's sandwich filling is cheese and roast pork! It is REALLY delicious - you should try it. Much better than cheese and ham.
Other fillings can be:
* left-over stew type fillings -- curry, gratin, stew
* potato salad -- the mashed type, and take out the cucumber!
* chopped apple and a sprinkle of cinnamon
* banana and nutmeg
* sweet red bean paste
Use your imagination :)