In a large skillet, fry the bacon until crisp. Transfer to paper towels and crumble the bacon.
Add chopped onions to the bacon drippings and cook over low heat, stirring, until tender. Add the okra, tomatoes, salt, pepper, and hot sauce. Simmer, stirring occasionally, for about 15 to 20 minutes, until the vegetables are tender.
Serve topped with crumbled bacon.