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One possible solution is to create a calculated field and simply enter -1 as the calculation. Place the pill on the Columns shelf. This will create a point on the axis to anchor your shape to relative to your measure. You can then pad as necessary by editing the axis.
Here is a blog post I found that goes into greater detail if the solution isn't as simple as that in your situation. Tableau Tip: Aligning Text and Shape inside a single cell (KPI Indicators) – Techno Whisp
I hope this helps!
Thanks and best,
This worked, Brandon! Thank you!