How To 

How to use the Pillar of Sacrifice in Skyrim

During the quest Boethiah's Calling, you will need to use this pillar of sacrifice in order to kill a companion in order to release Boethiah to advance the quest.

Step 1)Get a non essential companion to follow you.
Any companion that can die by any means is fine for this. I'd suggest finding a local bar and hiring someone to come with you that you don't care about and will never be using again anyway. Most bars in any of the major cities have one of these. You can bring a follower from one of the various factions as well, but an initiate of the dark brotherhood won't work here.

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Step 2)Direct the companion to use the pillar.
Talk to the companion you brought along to sacrifice, and tell them you need them to do something. This will change things into the directing companion mode, so look at the pillar and direct them to go use it. They'll become stuck to the pillar, sometimes after a bit of glitching, but then you should be good.

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Step 3)Kill your companion.
You are given a sacrificial dagger to perform the sacrifice with, but it doesn't need to be used. You can kill your companion any way you want and this will advance the quest.

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Congratulations on your, hopefully, first ever human sacrifice!