Preheat a large skillet over a medium heat with the avocado oil.
Place the dry ingredients (almond flour, baking powder, Keto Chow, sweetener, and pumpkin pie spice) in a medium bowl and whisk together.
Add the pumpkin puree, milk, and eggs. Whisk with a hand mixer until mixed and free of lumps.
Using a 1/4 cup, scoop batter onto the hot skillet, as many as will fit with room for spreading.
Cook for 2 1/2 minutes and then flip onto the other side, cooking for 1 1/2 minutes.
Serve with sugar-free syrup or butter.