In other countries the do have a lot of additional meals which are specific to their local taste (rice/fried chicken/different sauces) but the core burgers like a Big Mac, mcChicken and sides such as fries are there.
Besides the bun, it is noticeable in every part. The amounts and quality of the sauce, vegetables, and meat. And finally how the burger is presented.
So if this difference can occur within 1000km of each other in the same continent, I fully accept that it is even more varied in the whole world.
Thatis, if you happen to go to a random McD in some country and the big mac was great that day and you go to a different restaurant in a different country on a different day and the big mac was bad, then that difference has likely least to do with them being in different countries. It's not like they actually use different recipes.