Abstract The scientific study of narcissism has accelerated in recent years. However, this literature has primarily been cross‐sectional and descriptive in nature, making it difficult to integrate with theories of narcissism, which instead emphasize various dynamics. Theoretical work construes narcissism as a complex dynamical system with processes that interact to contribute to narcissism expression and maintenance. We begin by reviewing theoretical accounts of narcissism and what they suggest about dynamic processes. We then review research that examines processes associated with narcissism in naturalistic settings. Integrating clinical theories with empirical work, we highlight remaining tensions in the field and discuss major conceptual considerations. For example, we discuss the role of entitlement and antagonistic behavior within narcissism and the need to identify the temporal ordering of various processes (e.g., self‐esteem fluctuations and fluctuations in grandiosity and vulnerability). In light of limitations of the existing literature, we then discuss methodological barriers that currently limit the ability to fully align empirical research with theorized processes within narcissism.