Setup You can skip the setup if you use the attached file: backup-moodle2-course-9-h5p_references-20221109-1110.mbz (which was created with Moodle 3.11) Create a course Navigate to the content bank Add an H5P content (Item A) to the content bank. You can upload the attached multiple-choice-2-2.h5p file. Navigate to the course page Create an H5P activity and select Item A by reference. Backup the course. It's OK if the following message is displayed at the end of the backup process: "File references to external contents are included in the backup file. These won't work if the backup is restored on a different site." Testing instructions Restore the backup on another Moodle site Navigate to the new course Confirm that the content bank contains the expected restored Item A (if you are using the backup, this activity is called "H5P activity (reference)"). Navigate to the H5P activity. Confirm there is no error and the H5P content is displayed properly. Go to the Content ban, edit this content, do some visible changes and save changes (if you're using the backup, this is multiple-choice-2-6.h5p) Go back to the H5P activity and confirm the H5P content has been changed too.