Heat cream and almond milk in a saucepan over medium until steaming, but do not boil.
In a bowl, whisk egg yolks with sweetener until slightly pale.
Slowly whisk in about ½ cup of the hot dairy to temper the yolks.
Return the yolk mixture to the saucepan with the rest of the dairy.
Cook on low heat, stirring constantly, until the custard thickens slightly and coats the back of a spoon (170–176°F).
Remove from heat and stir in vanilla, salt, and vodka if using. Strain into a clean bowl.
Let cool to room temperature, then refrigerate 2–3 hours or until fully chilled.
Churn in an ice cream maker according to manufacturer’s instructions, or freeze in a shallow container, stirring every 30 minutes for 2–3 hours.
Freeze until set, then let rest at room temperature 5–10 minutes before scooping