Heat a large saucepan over medium heat and add olive oil, fresh garlic, and onion. Sauté for a couple of minutes or until translucent.
Turn down to medium-low heat and add pumpkin purée, chicken bone broth, and cream cheese and stir together for about five minutes until sauce is well combined and thickened.
Add grated Parmesan and stir for another minute.
Add cooked pasta and pasta water to pot and stir everything together until sauce is mixed well with pasta.
Serve and enjoy!