First, begin by whisking the milk, cream, and eggs together.
Second, add maple sugar, tapioca, pumpkin, and spices to the milk mixture.
Next, use a double boiler to heat the mixture.
Pour ingredients into a double boiler.
Or create a double boiler by placing a large bowl inside a pot.
Make sure the majority of the bowl is underneath.
Finally, allow the water in the bottom to come to a boiler.
Add your bowl or the top of the double boiler.
Next, allow it to cook on medium heat for 5 - 10 minutes.
Whisk until desire consistency.
For thicker consistency simply cook longer.
Lastly, note that it will continue to thicken a little more once it has cooled.
Once it has reached the desired consistency remover from the heat.
Cool slightly before adding plastic wrap.
If need be spatula the sauce into a bowl and place plastic wrap on to the sauce (touching it).
This will prevent skin from developing on the custard.
Once cooled place in the refrigerator.
Can be made a day or two in advance.