0 Heat a large skillet over medium high heat. Cook the breakfast sausage according to the package instructions. Once fully cooked, drain any excess grease and transfer the sausage to a paper towel lined bowl.
1 Add the milk and water to the same skillet and bring to a simmer. Stir in the grits and cook according to the package instructions. Season with salt and black pepper to taste.
2 Stir in the eggs, pimento cheese, cooked breakfast sausage, Parmesan cheese, and bacon crumbles. Mix until everything is evenly combined.
3 Pour the mixture into a greased 7x11 casserole dish and spread it into an even layer. Bake at 350 degrees for 30-35 minutes, or until the casserole is set and lightly golden on top. Serve and enjoy!