Gather the necessary ingredients, including cold brew coffee, pumpkin puree, pumpkin pie spice, vanilla extract, heavy cream, and sugar.
Mix together the pumpkin puree, pumpkin pie spice, vanilla extract, and sugar to make the pumpkin cream.
Whip the heavy cream until it forms stiff peaks, then fold it into the pumpkin cream mixture.
Fill a glass with ice and pour in the cold brew coffee.
Top the coffee with the pumpkin cream mixture.
Sprinkle with additional pumpkin pie spice and enjoy!