Soften and whisk: In a medium bowl, whisk 2 large eggs until smooth.
Add 2 tablespoons softened cream cheese and whisk until mostly lump-free.
Add dry ingredients: Stir in 1/2 cup blanched almond flour, 1 teaspoon baking powder, 1–2 tablespoons keto sweetener, a pinch of salt, and 1/2 teaspoon vanilla. Mix until just combined. The batter will be thick but pourable; thin with 1–2 tablespoons water or unsweetened almond milk if needed.
Heat the pan: Warm a nonstick skillet over medium heat.
Add a small pat of butter or 1 teaspoon coconut oil and swirl to coat.
Portion and cook: Spoon 2–3 tablespoons of batter per pancake. Cook 1–2 minutes until bubbles appear on top and edges look set.
Flip gently: Slide a thin spatula under each pancake and flip. Cook 30–60 seconds more until golden and cooked through.
Serve hot: Plate immediately with butter and sugar-free syrup or your favorite keto toppings.
Repeat with remaining batter, greasing the pan lightly as needed.