Shrimp and grits first made an appearance in print in the 1930 Two-Hundred Years of Charleston Cooking cookbook with a recipe in its purist form: sautéed shrimp, "hot hominy", melted butter, salt and pepper. The dish, once known simply as breakfast shrimp, began as a simple breakfast staple during the shrimping season for shrimpers on the South Carolina coast. Today, the dish appears on breakfast, lunch and dinner menus throughout the state, often dressed up with bacon, aromatics and spicy or creamy sauces.

The top 10 winners in the category Best Shrimp & Grits in South Carolina are as follows: