Maleficence refers to the act of doing harm intentionally. However, there are various other words with similar meanings that can be used in place of maleficence. One such word is malevolence, which refers to malicious intent or ill will towards someone. Another synonym for maleficence is malignity, which refers to a desire to cause harm or evil intentions. Cruelty is also another word that could be used in place of maleficence, as it refers to intentionally causing pain or suffering. Other synonyms for maleficence include malice, wickedness, and evil. These words all refer to the act of doing harm, and can be used interchangeably depending on the context in which they are being used.