Honestly, KL/Klang Valley is such a gem, cost of living is super low for USD folks. Met many Americans who work on their startup/product here. Your runway extends by 4x thanks to currency exchange.
A huge number of co-working spaces around. Gyms too.
edit: fix abbr
I’m there a few times / year and never had a problem. Maybe if you rely on some coffee shops WiFi it could be a problem but that’s a general problem. Internet is really cheap too if you get a SIM card.
House prices - Not according to https://www.propertyguru.com.my, I looked up Cyberjaya as an example (~15mins on train to KL sentral) and freehold $120,000usd for a 4bedroom/2bathroom place, 1 bedroom condo for much less. That would buy you half a car parking place in Hong Kong (on leasehold no less). Regardless you'd just rent anyway, at least for first few years, $300-$400pm for a nice serviced condo with pool/gym. No point buying unless you eventually get a permanent residence.
English language - I never had a problem with English in KL or Penang or even Alor Setar, except maybe one of the old roadside tea vendors, but that's probably my northern accent. It might not be Singapore or HKG level but it aint significantly off.
Most folks in the city speaks English in the city, so you wont have issues getting around.
There is a growing tech community here as well with a some notable startups/companies.
Cost of living wise, magnitude lower than neighboring Singapore, as such a good consideration