Add the cottage cheese, honey (or maple syrup), and vanilla extract to a blender or food processor.
For strawberry cottage cheese ice cream, add the frozen strawberries. Blend until completely smooth and creamy, scraping down the sides as needed.
If using chocolate chips or other mix-ins, stir them in after blending.
Transfer the mixture to a freezer-safe container and smooth the top with a spatula.
Cover and freeze for 2–4 hours, or until firm enough to scoop.
Let the ice cream sit at room temperature for 5–10 minutes before scooping. Top with fresh berries, chocolate chips, or peanut butter if desired.