For the creme brulee: In a medium bowl, whisk the egg yolks, vanilla, monk fruit powder, and coconut cream until combined.
Divide the mixture evenly among 4 (6-ounce) ramekins, filling them until ¾ full. Cover with foil. Pour 1½ cups water into the Instant Pot bowl, and set a steamer rack or trivet in the bottom. Place three ramekins on the rack, and one on top of the three, in the center.
Secure the lid on the Instant Pot and lock it in place. Move the vent knob to the sealed position.
Select “Manual” and cook on high pressure for 9 minutes. Once the cooking time is up, let the steam release naturally for 10 minutes, and then open the vent to release the remaining pressure.
Remove the ramekins from the Instant Pot and take off the foil.
Cool to room temperature (about 1 hour), then place in the fridge to chill for at least 2 hours.
For the creme brulee topping: Place the ramekins on a cookie sheet, and sprinkle ¾ teaspoon of keto topping over each creme brulee. Using a hand torch, burn the sugar until it darkens. Alternatively, you can broil the creme brulees for several minutes until the tops start to darken.