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Roman Catholic Answer: One way of looking at a "central" sacrament would be The Most Holy Eucharist (the Mass and Holy Communion). All the other sacraments are means of grace. They are real actions which signify and actually impart the grace which they signify. The Eucharist is different, as It is actually the Body and Body, Soul, and Divinity of Jesus, Himself. It is His Reality.

Every other sacrament leads up to the Eucharist or flows from It, but they are allowed aimed at It.

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Q: The central sacrament of the Roman Catholic church is called?
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