Mix ketchup, horseradish, lemon juice, Worcestershire sauce, garlic, Old Bay and hot sauce in a small bowl.
Let sit for a few hours and add more horseradish before serving if you want a bit more heat.
Makes enough for 2 pounds of shrimp.
Notes
* I recommend Horseradish (made with vinegar and salt) rather than Horseradish Sauce (made with mayonnaise) for this recipe. * If you’re concerned about horseradish heat, start with one tablespoon of horseradish and let it sit for a few hours. Taste it before serving and add a tablespoon or two more horseradish if you want more of a kick. * Recipe can be doubled or tripled.