In a medium saucepan over Medium-low heat, warm up your hot cocoa and milk. Add your pumpkin and pumpkin pie spice and heat to your desired temperature (just don't let it boil).
Remove from heat and add your vanilla. Pour into mugs and top with whipped cream and marshmallows, or desired toppings.
Recipe by Uplifting Mayhem at https://www.upliftingmayhem.com/pumpkin-spice-hot-cocoa-recipe/