Malaysian cuisine is derived from the pith extracted from the sago palm, and is the staple food for the Melanau and the Penan peoples of Sarawak. Sago starch is prepared as a gooey and sticky paste by the Bisaya and Kedayan communities called ambuyat, and is called "" by the Melanau. It is eaten by rolling the paste around the prongs of a bamboo fork, and dipped it into soup, "sambal", or other varieties of gravies and dipping sauces. Aside from being the source for sago pith, the sago palm is a source of another delicacy for the indigenous peoples of Borneo:
Sago pink, yellow, green, etc. When soaked and cooked, both become much larger, translucent, soft and spongy. Both are widely used in Indian, Bangladeshi and Sri Lankan cuisine in a variety of dishes and around the world, usually in puddings. In India, it is used in a variety of dishes such as desserts boiled with sweetened milk on occasion of religious fasts. In India, "Tapioca Sago" is considered an acceptable form of nutrition during periods of fasts for religious purposes or for infants or ill persons. In the UK, both sago and tapioca have long been used in sweet milk puddings.