Add the chocolate and coconut milk to the bowl of your double boiler. Heat until melted. Once the chocolate has melted, whisk well to combine.
8 oz. semi-sweet or dark chocolate, ½ cup full-fat coconut milk
Remove from the heat and, stir in the vanilla, salt, and any other add-ins.
¼ teaspoon pure vanilla extract, Optional pinch sea salt
Bring the mixture to room temperature, loosely covered with something like a tea towel. Don't cover with anything that will allow steam to drip back in to the truffle mixture.
Chill until solid, about 4 hours. Once cold, use a small spoon to scoop out portions and use your hands to roll into balls about the size of a walnut.
Place the truffles onto a lined baking sheet or tray. Once they're all formed, refrigerate again to solidify, or freeze for a few minutes.
Roll the truffles in cocoa powder, dip in melted chocolate, or try one of the other options listed. Chill until ready to serve.