The Zion Christian Church practices baptism as a primary sacrament, performed by triple immersion in running water. Baptism is required for full membership. Beyond baptism, the church employs various healing practices understood as sacramental or sacred: blessed holy water (blessed by the Bishop), blessed garments, and staffs serve as healing media through which the Spirit's power is believed to work. These practices reflect the church's emphasis on healing as central to Christian faith.

The Lord's Supper is observed, particularly in the context of communal meals at the major pilgrimage to Zion City Moria during Easter.