Line a deep skillet with 2 layers of paper towels and fill with 1 to 2 inches of water, bring to a boil.
Break one egg into each buttered ramekin and season with salt and pepper to taste. Pour 2 tsp of heavy cream around each unbroken egg yolk.
Sprinkle with 2 tsp of grated cheese.
Place all 4 ramekins in skillet and turn down heat so water is simmering. Cover and steam eggs for 4-6 minutes or until whites are set. If you like runny yolks, serve now. If you like yolks cooked longer, then continue to steam a little longer.
Garnish with your favorite toppings (salsa, crumbled bacon, etc.).