It depends on the extent of their disorder. Some are aware that their behaviour is bad and damaging to other people while some are not. A lot of narcissists are not aware of their doings because in their minds they are never wrong or guilty. Those who are aware, don’t really care how their actions affect other people because narcissists don’t care about themselves and their needs. They lack empathy.
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People like your ex are mentally ill and curse to our society, they do not care about anybody's emotions or feelings and get pleasure by hurting others be it mentally, emotionally and physically, its due to people like him people dont anybody easily
No, it's like being stupid
Stupid people don't know they're stupid
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