The obvious next “placebo sacrament” we endure is the wedding. These days it’s often reduced to little more than photo ops, virtue signaling, and status displays. Little in the way of initiating a couple into hieros gamos—divine union—ever happens. What if, as part of the nuptials and in the company of a therapist, minister, or cherished members of the wedding party, the couple were to take 150 milligrams of MDMA (the MAPS therapeutic dosage) and share their deepest heartfelt hopes, fears, and commitments to the life they are about to cocreate?