Using a large deep pan, heat the oil over medium heat.
Add the shrimp and cook for 2-3 minutes on each side or until pink and cooked through. Set aside.
Using the same pan, cook the onion, garlic, and ginger over medium heat for 3-4 minutes or until the onion is lightly translucent.
Add the coconut milk, coconut cream, tomato sauce, coconut aminos, lime juice, fish sauce, and seasonings (reserving the cilantro). Stir to combine and allow to simmer for 4-5 minutes.
Add the shrimp back to the sauce and stir to coat the shrimp for 1-2 minutes.
Serve topped with cilantro and serve over rice (or cauliflower rice) with lime wedges.
Notes
All nutritional information are estimations and will vary. Estimations do not include optional ingredients.