The Coptic Orthodox Church recognizes seven sacraments: Baptism, Chrismation (Myron), Eucharist, Confession (Repentance), Holy Orders, Matrimony, and the Anointing of the Sick. Following ancient practice, the three sacraments of initiation are administered together: a person is baptized (by triple immersion), immediately receives Chrismation, and then receives Holy Communion—including infants. This unified initiation is understood as the full incorporation of the believer into the Body of Christ.

The Coptic Divine Liturgy is celebrated primarily in the Liturgy of St. Basil, with the Liturgies of St. Gregory of Nazianzus and St. Cyril of Alexandria also used on specific occasions. The liturgy is sung rather than spoken, and portions are still celebrated in Coptic (the last surviving form of the ancient Egyptian language), with translations into Arabic, English, or other languages. The Real Presence of Christ in the Eucharist is firmly affirmed. Confession before receiving Communion is strongly encouraged and is the normal practice for devout Copts.