Make the Meatballs: In a large bowl, combine ground chicken, egg, breadcrumbs, green onion, cilantro, jalapeño, garlic, ginger, cayenne, salt, and black pepper. Mix well and form into 16 golf ball-sized meatballs.
Cook the Meatballs: Heat a large deep skillet over medium-high heat and add sesame oil. Brown the meatballs on all sides for about 5-6 minutes. Work in batches if necessary to avoid overcrowding. Transfer browned meatballs to a plate and set aside.
Prepare the Sauce: Reduce heat to medium-low. In the same skillet, whisk together coconut milk, peanut butter, soy sauce, and chili paste until smooth.
Simmer: Add the sliced carrots to the sauce, then return the meatballs to the skillet. Bring to a gentle simmer, cover, and cook on low heat for 15 minutes.
Simmer: Add the sliced carrots to the sauce, then return the meatballs to the skillet. Bring to a gentle simmer, cover, and cook on low heat for 15 minutes.
Serve & Enjoy: Pair with brown rice, quinoa, or spiralized zucchini or sweet potatoes. Garnish with chopped honey-roasted peanuts, scallions, and fresh cilantro. Add hot sauce if desired.