How does one commit a sacreligious Communion?

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When you’re in mortal sin or not a Catholic, and you receive anyway.
(Except in some rare cases the priest allows a non-Catholic to receive - then it’s okay.)
 
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One way is to receive the Holy Eucharist without believing in the Real Presence.
Do you have a source for this? A doubt you are sincerely trying to work through is generally not a sin.
Indeed there have been priests who celebrated Mass while struggling with such doubts.
 
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Vico:
One way is to receive the Holy Eucharist without believing in the Real Presence.
Do you have a source for this? A doubt you are sincerely trying to work through is generally not a sin.
Indeed there have been priests who celebrated Mass while struggling with such doubts.
1 Cor 11
28 But let a man prove himself: and so let him eat of that bread and drink of the chalice. 29 For he that eateth and drinketh unworthily eateth and drinketh judgment to himself, not discerning the body of the Lord.
See Catechism 1385

Catechism
1378 Worship of the Eucharist . In the liturgy of the Mass we express our faith in the real presence of Christ under the species of bread and wine by, among other ways, genuflecting or bowing deeply as a sign of adoration of the Lord. "The Catholic Church has always offered and still offers to the sacrament of the Eucharist the cult of adoration, not only during Mass, but also outside of it, reserving the consecrated hosts with the utmost care, exposing them to the solemn veneration of the faithful, and carrying them in procession."208

208 Paul VI, MF 56.
 
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Those sources don’t support your contention that receiving communion while doubting the Real Presence is always sacrilegious.

A sacrilegious communion is one received in a state of mortal sin, in other words you’re not in a state of grace.

If a Catholic willfully rejects the Church teaching on the Real Presence, but insists upon receiving Communion anyway, then that is a grave, possibly mortal sin, and thus likely sacrilege.

If a Catholic is honestly struggling with doubt but is open to the Church teaching and trying to resolve their doubt, and receives with that mindset, then they likely have not committed grave sin, and might not have committed any sin at all, so it’s likely not sacrilege.

Likewise if they are confused or ignorant about the Church teaching and receive anyway, then they likely have not committed grave sin, and might not have committed any sin at all, so not sacrilege.
 
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Those sources don’t support your contention that receiving communion while doubting the Real Presence is always sacrilegious.

A sacrilegious communion is one received in a state of mortal sin, in other words you’re not in a state of grace.

If a Catholic willfully rejects the Church teaching on the Real Presence, but insists upon receiving Communion anyway, then that is a grave, possibly mortal sin, and thus likely sacrilege.

If a Catholic is honestly struggling with doubt but is open to the Church teaching and trying to resolve their doubt, and receives with that mindset, then they likely have not committed grave sin, and might not have committed any sin at all, so it’s likely not sacrilege.

Likewise if they are confused or ignorant about the Church teaching and receive anyway, then they likely have not committed grave sin, and might not have committed any sin at all, so not sacrilege.
Not always, but then I did not state that.

Keep in mind that doubt must not be voluntary and when the doubt is involuntary it must not be deliberately cultivated, nor should a revealed truth be willfully refused one’s assent.

Catechism of the Catholic Church
2088 Voluntary doubt about the faith disregards or refuses to hold as true what God has revealed and the Church proposes for belief. Involuntary doubt refers to hesitation in believing, difficulty in overcoming objections connected with the faith, or also anxiety aroused by its obscurity. If deliberately cultivated doubt can lead to spiritual blindness.

2089 Incredulity is the neglect of revealed truth or the willful refusal to assent to it. " Heresy is the obstinate post-baptismal denial of some truth which must be believed with divine and catholic faith, or it is likewise an obstinate doubt concerning the same; …
 
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