Add the ground pork and onion to a dutch oven or large saute pan over medium heat then cook, while breaking up the pork with a spatula, until pork is cooked through and onions are softened, about 8 minutes.
Stir the ginger and garlic in with the pork and onion and cook until fragrant then stir in the tomato paste, water, soy sauce, peanut butter, lime juice, honey, vinegar, sesame oil, and red pepper flakes.
Reduce the heat to low and simmer, stirring occasionally, about 15 minutes.
Season with salt & pepper to taste then serve the meat mixture on hamburger buns with the shredded cabbage.
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