TEXT: 50 Ways to Fluff Magic Missile
  [1] Your torch/lantern/light spell dims for a second
  and sputters hot sparks at the opponent, dealing 
  damage.
  [2] You throw a metal-tipped writing quill, which 
  seeks soft flesh under armor and through defense.
  [3] Conjure a swarm of tiny dragons, which 
  bombard the enemy in tiny breath attacks.
  [4] Spell has no outward effect. Target feels their 
  internal organs wrestling and fighting each other 
  for a moment until calm restored, deals damage.
  [5] Pantomime an archer knocking and releasing 
  an arrow. Target feels it as though it was real.
  [6] Environmental damage. Fate makes the area 
  around them hurt them; random objects will fall on
  the enemy, insects will bite, etc.
  [7] Target punches themselves right in the face.
  [8] The words of your spell invocation are minor 
  words of death, pain, and damage.
  [9] Nearby dust and smoke animate themselves 
  and form a bubble over the enemy's face or turns 
  into a small dust-devil slams into them.
  [10] Random opening in enemy's clothes turns into
  a mouth and bites them. If a beast, their tail turns 
  into a snake and bites their rear end.
  [11] Enemy's eyes go bloodshot and they shed a 
  few tears of blood; minor internal damage.
  [12] Religious weapon of your character's religion 
  flies out and hits foe spiritually. Examples include;
  flaming sword, stone hammer, dwarven god's axe, 
  serpent god's dagger, etc.
  [13] Poison toadstool-mushroom grow around 
  enemy's feet and releases cloud of spores, dealing 
  minor damage.
  [14] An illusion of a much more powerful spell is 
  cast, dealing only minor damage because it was 
  only partially real.
  [15] Your hair animates and whips the foe.
  [16] Localized earthquake.
  [17] Golden Orbs appear around your head, firing 
  in a barrage. 1 Orb per point of damage.
  [18] Powerful Static discharge leaps from your 
  fingers at the enemy.
  [19] Piece of the sky falls down on their head.
  [20] Suck in a lot of air and breath it out instantly, 
  buffeting the enemy with powerful gust of wind.
  [21] Eye lasers.
  [22] The weapon you are holding magically 
  extends to be 30+ feet long and you slap the 
  enemy with it.
  [23] Angel comes down from the sky and starts 
  listing off target's sins, dealing damage from the 
  guilt. If the target is evil then it's a devil instead 
  listing off all the times the target messed up and 
  was nice instead of evil.
  [24] Target has a vision of being lost in the woods 
  for a number of days equal to the damage rolled. 
  The damage from isolation and exposure carries 
  over with them, but no time passes in reality.
  [25] Famous character from a famous play in the 
  setting appears and strikes the foe as fitting to the 
  play (ie; Brutus stabs them)
  [26] Nearby light source such as sun, moon, or 
  torches focus their light into a laser beam.
  [27] Spooky portal with lovecraftian tentacle 
  attacks enemy.
  [28] Powerful wave of water appears and strikes 
  enemy, quickly evaporating.
  
  [29] Green bolts of energy fly from under your 
  clothing, striking enemy. They fade in color but 
  return back under your robe or in your bag.
  [30] Very minor Disintegration spell. Obliterates a
  finger sized hole in the enemy's body.
  [31] Enemy catches a very nasty disease (leprosy),
  but cannot spread it and it fades over the next day.
  [32] Blow air into your thumb and make a 
  cartoonishly huge fist, smashing the enemy with it.
  [33] Milky white streams of power come from 
  you, hitting the enemy and turning their skin milk 
  white until healed.
  [34] Force choke.
  [35] Summon a trio of extremely weak 
  otherworldly entities like imps, they attack for a 
  single round as best they can then disipate.
  [36] Powerful heat wave singes the enemy's skin 
  and lights a few stray hairs on fire.
  [37] Fling a nearby object at the enemy with 
  telekinetic force.
  [38] Enemy's blood turns partially into water. 
  Enough to deal a little damage, not enough to kill.
  [39] Claw marks appear on the enemy's flesh, 
  shaped as the Sorcerer's personal glyph.
  [40] Colorful pops and explosions appear around 
  the enemy, like fireworks.
  [41] Black bolt of lightning. When it strikes the 
  enemy their skeleton glows black and is visible 
  through their skin until they heal the damage.
  [42] Moss and Lichen grows on enemy's skin, 
  sucking some nutrients. Only deals damage when 
  conjured but must be scraped off.
  [43] Spectral horse or bull appears and tramples 
  enemy before disappearing.
  [44] The air around them condenses several large 
  bubbles of water, which freeze and pelt them with 
  balls of ice.
  [45] Tiny bone in enemy's body breaks painfully. 
  Nose, toe, finger, etc.
  [46] Enemy is forced to vomit up some of their 
  breakfast, which you just made rot in their 
  stomach.
  [47] Mathematical equation which subtracts 
  enemy's lifeforce by magical algebraic function.
  [48] Fire a flaming screaming skull from your 
  hands, exploding on contact with the enemy.
  [49] Enemy is struck with an injury they will face 
  far in the future, the fate that came true too early.
  [50] Ghastly tendrils suck a portion of the enemy's
  soul energy out of their body.
  
SOURCE: textdata/thevault/_GM Books/World Building & Game Design/ Misc #, A/50 Ways to Fluff Magic Missile.pdf