Introduce the seafood to the broth—add the prawns, fish balls, squid, and mussels (if using), along with the mushrooms. These ingredients can cook simultaneously, but monitor closely to avoid overcooking, especially the squid and prawns which require only a few minutes to become tender.
Season the soup with fish sauce and sugar, adjusting to your preference. Let the seafood and mushrooms cook through in the simmering broth, stirring occasionally.
Once all the seafood is perfectly cooked, immediately switch off the heat. With the flame off, stir in the lime juice to preserve its brightness. Taste the soup and adjust with more lime juice, sugar, or fish sauce as needed for a perfect balance of salty, sour, and spicy.