Another priest impregnated a young girl and then arranged for her to have an abortion.
One victim in Pittsburgh was forced to pose naked as Christ on the cross while priests photographed him with a Polaroid camera.
Victims expressed relief that Attorney General Josh Shapiro and his agents had conducted the investigation after the victims efforts to get church officials to take action went nowhere.
USA bishops adopted widespread reforms in 2002 when clergy abuse became a national crisis for the church, including stricter requirements for reporting accusations to law enforcement and a streamlined process for removing clerics who abuse children.
An Indiana priest said he was heartbroken for the Pennsylvania victims.
Asked about the grand jury report, Austin Ruse of the Center for Family and Human Rights says based on other reports in the past, he knows what this one will say. "Priests were raping little boys and girls and the men of God who were responsible not only did nothing: They hid it all".
Catholics are calling for independent investigations into why Cardinal Theodore McCarrick, the former archbishop of Washington, D.C., was advanced up the hierarchy despite warnings to his superiors in Rome and fellow bishops that he had molested seminarians and young priests.
But in nearly every case the statute of limitations had run out, meaning too long had elapsed between the crimes taking place and them being reported for any action to be taken.More news: Victor Moses revels in 'great' Chelsea start against Huddersfield Town
Over 100 of the pedophile priests have sine died, with many others having retired, been dismissed or put on leave from the priesthood. That attempt largely succeeded, he said, because only two of approximately 150 priests still alive have been prosecuted for their crimes. "In each diocese, the bishops had the key to the secret archives, which contained both allegations and admissions of the abuse and the cover-up".
The grand jury probe was the most extensive investigation of Catholic clergy abuse by any state. Since 2002, the diocese has undertaken several operational initiatives, including background checks for clergy, staff and volunteers, and passes allegations along to law enforcement regardless of how long ago the alleged abuse occurred.
The panel concluded that a succession of Catholic bishops and other diocesan leaders tried to shield the church from bad publicity and financial liability. But the grand jury also serves as a gut-wrenching reminder of the lasting physical and spiritual toll of failure.
"We have no comment at this time", Paloma Ovejero, deputy director of the Vatican's press office, told CNN Wednesday. The Erie and Harrisburg dioceses have already posted lists of accused priests on their websites.
The Pennsylvania Supreme Court had ordered release of the report after a judge decided on redactions. It also is expected to spark another fight by victim advocates to win changes in state law that lawmakers have resisted. The report covers the dioceses of Allentown, Erie, Greensburg, Harrisburg, Pittsburgh and Scranton.
The report comes at a time of fresh scandal at the highest levels of the US Catholic Church.
The grand jury accused Cardinal Donald Wuerl, who leads the Washington archdiocese, of helping to protect abusive priests when he was Pittsburgh's bishop. Wuerl, who was bishop of the Pittsburgh diocese from 1988 to 2006, disputed the allegations.
"There was no cover up going on", Zubik said.