diff --git a/.gitignore b/.gitignore
index 6e24ab4..8357fa3 100644
--- a/.gitignore
+++ b/.gitignore
@@ -11,6 +11,7 @@
 .settings
 .socket-repl-port
 .sw*
+.vscode
 *.class
 *.jar
 *.swp
diff --git a/CHANGELOG.md b/CHANGELOG.md
index a84e013..1013985 100644
--- a/CHANGELOG.md
+++ b/CHANGELOG.md
@@ -1,6 +1,7 @@
 # Changes
 
 * 2.0.next in progress (2.x will be VGN only)
+  * Fix #338 by adding `ONLY` to `:fetch`.
   * Fix #337 by switching to `clojure.test` even for ClojureScript.
   * Address #330 by improving exception when a non-entity is encountered where an entity is expected.
   * Fix bug in unrolling nested argument to `with-columns` helper.
diff --git a/src/honey/sql.cljc b/src/honey/sql.cljc
index 3d713e2..66b2e2b 100644
--- a/src/honey/sql.cljc
+++ b/src/honey/sql.cljc
@@ -870,7 +870,9 @@
          :order-by        #'format-order-by
          :limit           #'format-on-expr
          :offset          #'format-on-expr
-         :fetch           #'format-on-expr
+         :fetch           (fn [_ x]
+                            (let [[sql & params] (format-on-expr :fetch x)]
+                              (into [(str sql " " (sql-kw :only))] params)))
          :for             #'format-lock-strength
          :lock            #'format-lock-strength
          :values          #'format-values
diff --git a/test/honey/sql_test.cljc b/test/honey/sql_test.cljc
index d4b635d..75f2197 100644
--- a/test/honey/sql_test.cljc
+++ b/test/honey/sql_test.cljc
@@ -782,3 +782,8 @@ ORDER BY id = ? DESC
                     :from :bar
                     :join [[{:select :a :from :b :where [:= :id 123]} :x] :y]
                     :where [:= :id 456]})))))
+
+(deftest fetch-offset-issue338
+  (is (= ["SELECT foo FROM bar OFFSET ? FETCH ? ONLY" 20 10]
+         (format {:select :foo :from :bar
+                  :fetch 10 :offset 20}))))