Prepare: Preheat the oven to 350 degrees F and line a baking sheet with parchment paper.
Mix Wet Ingredients: Add the almond butter, maple syrup, orange zest and vanilla to a bowl and whisk until smooth.
Add Dry Ingredients: Add the flour, oats, salt, nutmeg and baking soda, stir to combine. It may seem a dry at first but will come together as you mix.
Stir in Add-Ins: Mix in the cranberries, chocolate chips and nuts, if using.
Shape Cookies: Drop 12 spoonfuls of the dough onto the baking tray, pressing each one into a cookie shape. The cookies will not spread during baking so be sure to shape them into cookies beforehand.
Bake and Cool: Bake for 12-13 minutes until golden brown around the edges. Let cool completely on the pan. They will be fragile after coming out of the oven but will be firm after they cool.