5. They sometimes act psychotic.
All malignant narcissists are bat shit crazy, and their delusions can rival those of someone with schizophrenia. In fact, narcissists denied supply over long periods of time or who have suffered a severe loss can, in fact, become psychotic. Schizophrenic-like neologisms and nonsensical conversation that sounds like word salad isn’t that uncommon in a malignant narcissist living in mortal fear of losing their “mask of sanity.”