After two decades of intensive revelations, the wounds from priestly sex abuse in the Catholic Church in the United States remain vastly unhealed. Most enduringly, thousands of survivors of abuse remain wounded spiritually, psychologically, emotionally, and relationally. The ripple effects have wounded their families and communities on an exponential scale and have weakened trust among members of the Church more broadly. Large numbers have broken communion with the Church. Other Christian churches also have seen revelations of abuse and are grappling with their responses.