Horny as hell is an expression used to indicate extreme sexual desire. It may not be suitable in all contexts, especially in formal settings. If you are looking for alternative words or phrases to express this feeling, there are several options available. For instance, you may say that you are feeling aroused, turned on, excited, or hot and bothered. Other synonyms for horny as hell are randy, lustful, passionate, amorous, or salacious. Whether you are looking to spice up your vocabulary or to avoid using explicit language, consider some of these synonyms to express your intense sexual desire in a more appropriate manner.