While Revelation 22:18–19 applies to all of the book of Revelation specifically, it is not the only passage that warns us against changing what God has said. Indeed, that warning has been repeated from the earliest Scripture. In addition to changing the written word, He also strongly warns against those who add to His spoken word by falsely prophesying and teaching in His name. Because all of Scripture is breathed out and inspired by God, it is natural to assume that the punishment mentioned in Revelation applies to everything He said. Also, because Revelation 22:18–19 is at the end of the last book written of the Bible, it is reasonable to expect that that specific warning covers all previous books in the biblical Canon, and not just Revelation.
Tampering with God’s word is serious business. Removing something is to remove some of God’s commands. Adding to it is to treat what God did not say as if He said it. God does not look kindly upon those who do either of those, promising to inflict severe punishment when someone does.
There are some blatant examples of religious groups changing God’s word. The Mormon church, for example, adds their “Book of Mormon” to the Bible. Jehovah Witnesses, on the other hand, have retranslated the Bible (the New World Translation) to reduce Jesus to be a lesser god and a created being.
Other groups also intentionally, though more subtly, modify God’s Word by teaching only some passages. Prosperity teachers, for example, teach just the passages that appear to say that God wants believers to be healthy and wealthy in this life, while ignoring other verses that say that suffering is the norm for believers (Romans 5:3–4) and that loving money or wealth is the root of all sorts of evil (1 Timothy 6:10).
Finally, we can also change God’s Word if we, ourselves, are not careful! Sometimes we say things like, “I believe God is telling me to do such and such.” God’s Spirit certainly does guide us, and it is right to think of God opening doors based on how our circumstances are unfolding (1 Corinthians 16:8–9). However, He has given us everything we need to navigate this life (2 Timothy 3:16–17), so we need to be very careful that we aren’t putting words into His mouth and overriding or changing what the Bible says based on our feelings or impressions!