I love decorating pumpkins, I mean creating pumpkins.... Here is an easy way to create some cute pumpkins, TwoPaperDivas has a great tutorial on this, and the file to make them!
Creating the medallions are super easy on the silhouette, and the Design store has tons of different medallions to choose from. I used the medallions from the snowflake I made. (just resized it to fit my needs.)