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Narcissism exists on a spectrum, from healthy self-regard to Narcissistic Personality Disorder. The DSM-5 sets a high diagnostic bar: pervasive grandiosity, need for admiration, lack of empathy, beginning by early adulthood, and showing up across contexts. This checklist combines those clinical criteria with the behavioral patterns commonly described in narcissistic abuse: love bombing, devaluation, discard, hoover. Use it to spot patterns in a relationship, family system, or workplace, not to diagnose another person. Only a qualified clinician can diagnose NPD.