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In 1134, he was consecrated Bishop of Meglin by '''Eustathius, Archbishop of Trnovo'''. Holy Tradition holds that Eustathius was also visited in a vision by the '''Virgin Mary''' who announced to him that Hilarion would soon be placed as leader of the Meglin region.
His episcopal seat is famed to be the area where the village is today called Hrisi (Greek: Χρυσή) in Greece. This area was full of Armenian and Βογόμιλους monophysites. Through his teaching and discussions, he managed to convert many of the monophysites back to the church.
Hilarion pre-empted his death and
fell asleep peacefully in 1164.
At his request, he was succeeded as Abbott of the monastery, by his disciple of many years, monk Peter. It is noted in the Codex 524 that during his burial service that myrrh streamed continually from his eyes and that he later appeared on many occassions in visions to the monks of the monasteries to strengthen them in their monastic duties.