Combine: Add water, hemp hearts, miso, lemon juice, and garlic to a high-speed blender.
Blend about 60 seconds or until completely smooth.
Adjust thickness with water as needed.
Season: Add more lemon, salt, and pepper to taste.
Notes
For the smoothest hemp cream: Add the water to the blender first so the hemp seeds do not stick to the bottom. Then blend for a full 60 seconds (longer than you think). Scrape down the sides and blend again.