Malignant narcissism is a psychological syndrome comprising a mix of narcissism, antisocial behavior, sadism, and a paranoid outlook on life.[1] Malignant narcissism is not a diagnostic category defined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR). Rather, it is a subcategory of narcissistic personality disorder (NPD)[2] which could also include traits of antisocial personality