Is there anyway to run a report that shows whether the expense items have the receipt attached to them or not?

Good Evening!
I have not found a Report that allows customizations to include the attachments added to Expense Transactions, but there may be a workaround that would work for you.  

You have the ability in the Expenses tab of your Expense Center to add a column to your Expenses list that shows whether an attachment has been added to the Expense Transaction.  You can add this column by clicking the Grid Gear icon above the Action column in your Expense List.

From there you will be able to see what Expenses include Attachments on them, as well as Print or Export the list if desired.  

Hope this helps!

Hello there, BWeemer.

We value and appreciate the contributions made by knowledgeable users such as yourself, who are willing to share their expertise and help others. The workaround that you have provided serves as a valuable resource to users who seek to generate a report displaying expense items with attachments. 

Also, to learn some guidelines for running and customizing reports in QuickBooks Online, see these articles: 

• Run reports in QuickBooks Online
• Customize reports in QuickBooks Online

We thank you for your valuable contribution and look forward to your continued engagement with our Community. Stay safe.