Malignant narcissism
Malignant narcissism is a theoretical personality disorder construct conceptually distinguished from typical narcissistic personality disorder (NPD) by the presence of antisocial behavior, egosyntonic sadism, and a paranoid orientation, while still retaining some capacity for guilt and loyalty. Malignant narcissism is conceptualized as a subcategory of NPD, rather than being recognized as a diagnostic category in any major classification system for mental disorders, namely DSM-5-TR, or ICD-11, the latter of which diagnoses personality disorders dimensionally rather than categorically.