Preheat your oven to 325°F (163°C).
In a medium saucepan, combine the heavy cream, pumpkin puree, 1/4 cup sugar, vanilla extract, cinnamon, nutmeg, and ginger. Heat over medium heat, stirring occasionally, until the mixture is hot but not boiling. Remove from heat.
In a separate bowl, whisk the egg yolks.
Slowly add the hot cream mixture to the yolks, a little at a time, whisking constantly to prevent the eggs from cooking.
Strain the mixture through a fine-mesh sieve into a clean bowl to remove any cooked egg bits.
Divide the mixture evenly among 4 small ramekins.
Place the ramekins in a baking dish, then pour hot water into the dish until it reaches halfway up the sides of the ramekins.
Bake for 30-35 minutes, or until the edges are set but the center still jiggles slightly.
Remove the ramekins from the water bath and let them cool to room temperature.
Refrigerate for at least 2 hours or overnight.
Before serving, sprinkle 1/2 tablespoon of sugar over the top of each chilled dessert.
Using a kitchen torch, caramelize the sugar until it forms a crispy, golden brown layer. Alternatively, you can place the ramekins under a broiler for 1-2 minutes, watching closely to avoid burning.