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They are very separate things, even though they can present in visually similar ways. Please resist the temptation to conflate the two. Tulpas aren't intended to act as "spirit guides", self-introspection aids (anxiety disorders being reframed goes a long way here), overly "magickal" things, chores, children, sex toys, self-induced schizophrenia (it's a genetic condition, you can't give yourself a genetic condition based on our current understanding of medical science), all-seeing beings,...