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Descent into Madness [Avacyn Restored]

ๆฅ่‡ช Magic: The Gathering
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Set: Avacyn Restored
Type: Enchantment
Rarity: Mythic
Cost: {3}{B}{B}
At the beginning of your upkeep, put a despair counter on Descent into Madness, then each player exiles X permanents they control and/or cards from their hand, where X is the number of despair counters on Descent into Madness.
The stairs lead down in both directions.