I’ve very often not really wanted cake on my birthday, since my 20’s or so.
One of the most memorable alternatives was bacon-wrapped scallops. Actually, since then, a couple of times I’ve gone to a restaurant and ordered really nice scallop dishes on my birthday.
I don’t want anything, for my birthday. Haven’t for, at least two decades. I survived another rotation of the Earth, around the Sun. That’s all it proves…