The degrees of the Hermit Triad are of a sexual nature. In the VIII° degree, the initiate is taught masturbation magical practices, in the IX° degree magical techniques related to vaginal intercourse, and in the XI° a form of sex magick involving anal intercourse.[27]

The basis of OTO's sex magic is Crowley's theory of mixing of semen and female ejaculate released during the sex magic operation to produce an "elixir", which is then ingested or smeared on an object for magical purposes.[9]