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Hall and Winlow (2015) conclude in their work “Revitalizing Criminological Theory” with a call for “…a paradigm shift, a new sociological and criminological paradigm founded…on universal notions of harm…” (131). I examine this potential, looking at the merits of an ultra-realism ontologically grounded in harm. By renewing the style of analysis used in the critique of socio-legal definitions for crime that were foundational to critical criminology itself, I engage and encourage others to engage in a self-critical discussion on what dimensions of the “notion of harm” may prove inadequate, problematic, or limiting for an ultra-realist turn in criminological research. Central to the critique I offer is a discourse on the “normative nominalism” encountered in socio-legal definitions of crime that would seem to reappear in critical criminology’s conceptions of harm. Without claiming truth or privileging this critique, I nonetheless argue what may be required is a conceptual ontology more firmly grounded in ultra-realism (if not radical empiricism) than harms can provide — despite its undeniable significance in transforming criminology.