Bring broth and salt to a boil in a heavy saucepan over medium-high heat.
Whisk the grits into the boiling broth, and then whisk in half-and-half. Reduce heat to medium-low and simmer, stirring occasionally, until grits are thickened and tender, about 15 to 20 minutes.
Mix the cheese into the grits; stir until the cheese is melted and the grits are creamy and light yellow.
Set aside and keep warm.
For the shrimp
Season the shrimp with salt and cayenne pepper. Add lemon juice, toss to combine, and set aside to marinate until needed.
Place the sausage slices in a large skillet over medium-high heat. Cook, stirring occasionally, until browned, 5 to 8 minutes. Remove the sausage from the skillet.
Add bacon to the same skillet. Cook over medium-high heat until evenly browned, about 5 minutes per side. Transfer the bacon to paper towels to drain, leaving the bacon drippings in the pan. Chop or crumble the bacon when cool enough to handle.
Meanwhile, add the bell peppers, onion, and garlic to the bacon drippings; cook and stir until the onion is translucent, about 8-10 minutes.
Stir the cooked sausage and marinated shrimp into the skillet with the cooked vegetables. Turn off the heat and set it aside.
In a small saucepan over medium heat, melt the butter. Whisk in the flour, stirring to create a smooth roux. Turn the heat to low and cook, stirring constantly, until the mixture is medium brown in color, similar to beef gravy, 8 to 10 minutes. Watch carefully; the mixture burns easily.
Pour the roux over the sausage, shrimp, and vegetables. Place the skillet over medium heat, add chicken broth, bacon, and Worcestershire sauce, and stir to combine. Cook until sauce thickens up and shrimp turn opaque and bright pink, about 8 minutes.
To serve, spoon some of the grits onto plates and serve the shrimp mixture over top.
Notes
Shrimp and grits can be enjoyed for breakfast, brunch, or dinner, depending on personal preference and regional customs. In the Southern United States, it is commonly served as a savory breakfast or brunch item, but it has also become popular as a dinner option.
While it is best to serve shrimp and grits immediately after cooking for optimal taste and texture, you can make components like the grits or pre-cook the shrimp ahead of time. Store them separately in airtight containers in the refrigerator and reheat gently before combining and serving.
It is generally not recommended to freeze shrimp and grits, as the texture of both the shrimp and the grits may become compromised upon thawing and reheating. It is best to enjoy the dish fresh or refrigerate the leftovers for a day or two.
If you enjoy a bit of heat, you can add spices like cayenne pepper, chili powder, or hot sauce to your shrimp seasoning or sauce. Adjust the amount of spice according to your desired level of heat. Remember to taste as you go to achieve your preferred level of spiciness.
While shrimp is the most commonly used seafood in shrimp and grits, you can get creative and use other types of seafood as well. Crawfish, scallops, or even chunks of fish like catfish or tilapia can be delicious alternatives or additions to the dish. Adjust the cooking times accordingly to ensure proper doneness.