Beat softened cream cheese with powdered sweetener, vanilla extract, and coconut extract until smooth and creamy.
Gently fold in drained pineapple and shredded coconut, taking care not to break up the pineapple.
Carefully fold in whipped cream until fully combined, keeping the mixture light and airy.
Transfer the mixture into a serving dish or individual cups.
Refrigerate for 1–2 hours to allow flavors to meld and the dessert to firm slightly.
Before serving, garnish with toasted coconut, pineapple chunks, maraschino cherries, or sugar-free whipped cream.