In a blender or food processor, combine 2/3 cup cottage cheese with 1/4 cup almond milk. Blend until completely smooth and set aside.
In a medium saucepan over medium heat, melt 2 tablespoons butter. Add 3 cloves minced garlic, 1 teaspoon Italian seasoning, 1/4 teaspoon paprika, 1/4 teaspoon pumpkin pie spice, and 1/4 teaspoon salt. Cook for 1 minute until fragrant.
Pour in 1 cup almond milk (reserving the remaining 1/4 cup). In a small bowl, stir 1 tablespoon cornstarch into the reserved 1/4 cup milk, then add to the saucepan. Simmer for 2-3 minutes until the sauce begins to thicken.
Stir in 1/2 cup pumpkin puree and 1/2 cup shredded parmesan cheese. Continue stirring until cheese is melted and sauce is smooth.
Remove the saucepan from heat. Gently stir in the blended cottage cheese mixture until fully combined and smooth. Serve warm over your favorite pasta or veggies.