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The Tattooed Priestess is a woman who is chosen or by her own will to perform the Piercing of Soul ritual, which involves two Engravers tattoo the Priestess with the Ink of the Soul, which is made from the blood of the living and the dead, and the Impalement Ritual, which involves four Handmaidens impaling the Priestess in the hands and feet. The Priestess has to be asleep in order to absorb the pain from others who visit the shrine. If the Priestess wakes up and performs the Rite of Stakes, the Rift will open and suffering will be unleashed on all.