Preheat your oven to 350°F (175°C).
In a large mixing bowl, combine the rolled oats, almond flour, baking soda, pumpkin pie spice, and salt. Mix well.
In another bowl, whisk together the pumpkin puree, brown sugar, maple syrup, melted coconut oil, and vanilla extract until smooth.
Pour the wet ingredients into the bowl with the dry ingredients and stir until fully combined. Fold in chocolate chips or nuts if desired.
Drop spoonfuls of the cookie dough onto a prepared baking sheet, spacing them about 2 inches apart.
Bake for 12-15 minutes until edges are lightly golden. Let cool on the baking sheet for 5 minutes before transferring to a wire rack.