It's traditional to use a sugar cube to make an Old Fashioned, although they vary in size. I've made these with granulated sugar and they come out just fine. Whatever sugar you use, muddle it well with the bitters until it's fully dissolved. I've seen some bartenders add a very small splash of sparkling water to the sugar and bitters mixture to help them meld together. For a slightly different twist, swap out maple syrup for the sugar.
I used
Bitter Truth Aromatic Bitters for this one (another brand is
Fee Brothers), although
Angostura bitters are considered the classic, and available in well-stocked supermarkets and online.