| Act | Effect |
| Committing a violent act | Reduces hit points by 1 |
| Committing murder | Reduces hit points by 1 for every 3 Hit Dice of the victim (minimum 1 hit point) |
| Casting animate dead | Reduces hit points by 1 per undead created |
| Casting create undead or create greater undead | Reduces hit points by 1 per level of spell cas |
| Summoning an evil outsider | Reduces hit points by 1 per evil outsider summoned |
| Calling an evil outsider | Reduces hit points by 1 per level of spell cast |
| Casting desecrate | Reduces hit points by 2 |
| Casting unhallow | Reduces hit points by 4 |
| Successfully performing the loci spirit’s ceremony | Restores 2 hit points |
| Casting consecrate | Restores 2 hit points (maximum once per day) |
| Casting hallow | Restores 4 hit points |