Preheat oven to 325°F (160°C). Place ramekins in a deep baking dish.
Split the vanilla bean, scrape seeds into the cream, and heat until just simmering (or add vanilla extract off the heat).
Let steep for 15 minutes.
In a bowl, whisk egg yolks, 1/3 cup sugar, and salt until pale and slightly thickened.
Slowly pour the warm cream into the yolks while whisking constantly.
Strain the mixture through a fine sieve for a smooth custard.