Prepare your workspace and gather ingredients.
In a mixing bowl, combine the pumpkin puree, almond flour, maple syrup, vanilla extract, and pumpkin spice.
Add cacao powder, shredded coconut, and salt to the pumpkin mixture.
Taste the mixture and adjust sweetness or spices as desired.
Refrigerate the mixture for 30 minutes until firm.
Once chilled, use a small scoop or your hands to form bite-sized balls from the mixture.
Roll the truffles in additional cocoa powder or shredded coconut if desired.
Place the truffles on a parchment-lined tray and refrigerate again for at least 15 minutes before serving.