Place a high sided sauté pan over medium heat. Add oil and let it heat up for a minute or so. Add tomatoes and stir.
Cook tomatoes a couple of minutes and add garlic, ginger, curry paste and garam masala. Stir and let cook down a bit till tomatoes are juicy. Season with salt and pepper.
Add coconut cream and stir to combine. Add lime juice, cilantro and simmer gently.
Season fish with salt and pepper. Place on top of curry and cover. Let fish cook for 5 minutes or so, depending on the thickness of your fillets. Internal temp should be at least 135* to 140*. Garnish with more cilantro if desired.