Preheat oven to 400°F (200°C) and line a baking sheet with parchment paper.

Mix ingredients – In a large bowl, combine ground meat, green onions, carrots, egg, almond flour (or breadcrumbs), garlic, coconut aminos, and salt. Mix until just combined.

Form meatballs – Roll mixture into 1-inch balls and place on the prepared baking sheet.

Bake – Cook for 15-18 minutes, or until meatballs are cooked through (internal temp of 165°F for poultry, 160°F for beef/pork).

Prepare sauce – In a small saucepan, whisk together water, coconut sugar (or brown sugar), coconut aminos, garlic, sesame oil, ginger, rice vinegar, hoisin sauce, and red pepper flakes (if using).

Simmer & thicken – Bring to a gentle simmer over medium heat. If thickening, dissolve arrowroot or cornstarch in 1 tablespoon water, then stir into sauce. Cook for 2-3 minutes until thickened.

Coat meatballs – Toss the baked meatballs in the sauce until evenly coated. Garnish with sesame seeds if desired.