I am under the impression initially that the Content in question is specifically not yet purchased on Roll20. According to DnD Beyond ; the content in question is located on "Player's Handbook , pg. 282". This would mean that the Roll20 Content " Player's Handbook " would need to be purchased via the " Player's Handbook Bundle " which is offered amongst plenty of other content published through the Roll20 Marketplace under the Content Publisher " Wizards of the Coast " You are more than capable of adding the Spell to the Sheet yourself though, with a bit of Typing. You can add a new Cantrip with the [+] button at the bottom of the Cantrips section in the Spell Submenu (look in the Top Right if you can't find it) of the Character Sheet Tab on the Roll20 5e OGL Character Sheets. Fun facts for formatting; the following is accepted by the Text Fields it provides: *Italics* **Bold** ***Bold + Italics*** @{Attribute Calls} (the Left Column on Attributes & Abilities Tab) %{Ability Calls} (the Right Column in the Attribute & Abilities Tab) [[Inline Math]] [Links](URLs) [Clickable Buttons](! Text to send when Clicked) and I'll even help you out a bit more; here is the To Hit & Damage Formula for you, complete with fully functional clickable Chat Menu buttons: **To Hit: d20+[[(@{wisdom_mod} +@{spell_attack_mod} +@{pb})]]** [Normal](! /ooc &{template:default} {{name=@{selected|character_name}'s To Hit:}} {{Normal=**[[1d20+[[(@{wisdom_mod} +@{spell_attack_mod} +@{pb})]]]]**}}) | [Advantage](! /ooc &{template:default} {{name=@{selected|character_name}'s To Hit:}} {{Advantage=**[[2d20kh1+[[(@{wisdom_mod} +@{spell_attack_mod} +@{pb})]]]]**}}) | [Disadvantage](! /ooc &{template:default} {{name=@{selected|character_name}'s To Hit:}} {{Disadvantage=**[[2d20kl1+[[(@{wisdom_mod} +@{spell_attack_mod} +@{pb})]]]]**}}) **On Hit:** The Creature takes [[[(1 +(floor((@{level} +1) /6)))]]d6 Piercing Damage](! /ooc &{template:default} {{name=Damage Calculation:}} {{Piercing Damage:=**[[[[(1 +(floor((@{level} +1) /6)))]]d6]]**}}) I realized after I posted this that I lacked the Global Spell Damage Modifier from my Copy of this Macro as well (of which this is a heavily edited snippet).