In a saucepan over medium heat add the water, steel cut oats, salt, pumpkin puree, cinnamon, and pumpkin pie spice. Bring the mixture to a boil.
Reduce heat to low and let simmer for 20-30 minutes, stirring frequently. The longer you cook the oats the thicker the mixture becomes. Remove from heat and let sit for several minutes before serving.
Stir in brown sugar, honey , or maple syrup according to taste. Garnish with nuts, craisins, raisins, or any other toppings you desire.