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Eucharist comes from the Greek meaning giving thanks. Other names for the Eucharist include: the Holy Gifts, Communion, and the Body and Blood of our Lord Jesus Christ. Orthodox Christians believe that the Real Presence of God (not merely a sign) is present after the consecration of the Gifts.

The Eucharist is the center of life in the Orthodox Church because the Church is primarily a eucharistic community. The Eucharist is the completion of all of the Church's other sacraments and the source and the goal of all of the Church's doctrines and institutions.

The faithful receive Holy Communion on a spoon. They are given both the consecrated bread (NIKA) and the sanctified wine. The communion of the faithful is always from the gifts offered and sanctified at the given Divine Liturgy. All who are prepared members of the Orthodox Church through the sacraments of baptism and chrismation, including small children and infants, may partake of Holy Communion.

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