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Preheat oven to 375 degrees. Spray a 9x13 baking dish with non-stick spray.
Add the ground beef, onion, and garlic to a large skillet and cook, breaking the meat up as it cooks, until the beef is cooked through. Drain the fat and add the beef mixture to a large mixing bowl.
Add the mixed vegetables, cream of chicken soup, Worcestershire sauce, and hot sauce to the bowl and stir well to combine.
Spread the beef mixture into the prepared baking dish. Sprinkle with the cheddar.
Arrange the tater tots in an even layer over the cheese.
Bake for 45 minutes or until the tater tots are golden brown and crispy.