I can tell you the trick that I use in Pathfinder to get images to use as MapTool tokens; if you add Armidale's Pathfinder Sheet as a custom output, the character sheet saves the portrait image as a separate file.
Currently Running: Pathfinder Second Edition
Currently Playing: Pathfinder First Edition, Star Trek Adventures
Former HL Games: D&D 4e & 5e, Mutants & Masterminds 2E & 3E, Savage Worlds
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