As adjectives the difference between sacramental and sentimental
is that
sacramental is used in, or relating to, a sacrament while
sentimental is characterized by sentiment, sentimentality or excess emotion.
As a noun sacramental
is (christianity|chiefly|roman catholicism) an object (such as holy water or a crucifix) or an action (such as making the sign of the cross) which is regarded as encouraging devotion and thus spiritually aiding the person who uses it.