Combine the pumpkin, marshmallow fluff, sugar, nutmeg, salt, cinnamon, vanilla and cream into a small saucepan. Stir to combine. Heat through, over medium-low heat, for 10 to 15 minutes, stirring occasionally.
Add the caramel bites and cook for 2 to 3 minutes. Remove from heat. Place into a bowl and serve with vanilla wafers either warm, room temperature or chilled.