In a large skillet or wok, heat sesame oil over medium-high heat.
Add minced garlic and ginger to the skillet, sauté for 1-2 minutes until fragrant.
Add the ground pork or turkey to the skillet, breaking it apart with a spatula as it cooks.
Stir in the shredded cabbage and carrots, mixing well with the meat.
Pour in soy sauce and rice vinegar, stirring to combine.
Cook for an additional 5-7 minutes, stirring occasionally, until the vegetables are tender and the flavors meld together.
Finish with sliced green onions and red pepper flakes, if using.