Do narcissistic people know they hurt their loved ones? Yes, narcissistic abusers are often aware that they are hurting their victims. However, their sense of empathy is often limited, and they may not fully understand or care about the impact of their actions on others. Narcissists tend to have an inflated sense of self-importance and entitlement, and they may feel justified in their behavior because they believe that they are superior to others. Narcissistic abusers may also use tactics such as gaslighting or blame-shifting to make their victims doubt their own perceptions and feelings, which can make it difficult for victims to recognize the abuse and hold the abuser accountable. It's important for victims of narcissistic abuse to seek support and help from trained professionals or support groups who can provide them with resources and strategies for coping with the effects of the abuse and breaking free from the cycle of abuse.