Karmic Guide
Sister Hospitaller
Shilgengar, Sire of Famine

   Prerequisites

What do I need to start this combo?
Shilgengar on the battlefield.
Sister Hospitaller in your graveyard.
Karmic Guide in hand.
3 available

   Steps

How does this combo work?
1
Cast Karmic Guide by paying 3.
2
When Karmic Guide enters, it triggers, targeting Sister Hospitaller.
3
Holding priority, activate Shilgengar by sacrificing Karmic Guide.
4
Resolve the Karmic Guide ability, returning Sister Hospitaller from your graveyard to the battlefield.
5
When Sister Hospitaller enters, it triggers, targeting Karmic Guide.
6
Holding priority, activate Shilgengar by sacrificing Sister Hospitaller.
7
Resolve the Sister Hospitaller ability, returning Karmic Guide from your graveyard to the battlefield and causing you to gain 5 life.
8
Repeat from step 2.

   Results

What do I get from this combo?
Infinite LTB
Infinite ETB
Infinite sacrifice triggers
Infinite death triggers
Infinite lifegain triggers
Infinite lifegain
Infinite Blood tokens
Shilgengar, Sire of Famine
0.4%inclusion29 decks8.09K decks
Rodolf Duskbringer
0.8%inclusion10 decks1.29K decks
Sefris of the Hidden Ways
0.1%inclusion7 decks10.3K decks
Liesa, Forgotten Archangel
0.1%inclusion4 decks2.98K decks
Dihada, Binder of Wills
0.0%inclusion4 decks10.6K decks
Kaalia of the Vast
0.0%inclusion3 decks32.3K decks
Kroxa and Kunoros
0.2%inclusion3 decks1.82K decks
Tariel, Reckoner of Souls
0.1%inclusion2 decks1.36K decks
Bane, Lord of Darkness
0.1%inclusion2 decks2.32K decks
Ketramose, the New Dawn
0.0%inclusion2 decks7.53K decks
Hashaton, Scarab's Fist
0.0%inclusion2 decks19.1K decks
Teysa Karlov
0.0%inclusion1 decks18.7K decks
Extus, Oriq Overlord
0.0%inclusion1 decks6.34K decks
Bartolomé del Presidio
0.1%inclusion1 decks1.89K decks
Moira and Teshar
0.2%inclusion1 decks468 decks
Neyam Shai Murad
0.2%inclusion1 decks518 decks
Athreos, Shroud-Veiled
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The Necrobloom
0.0%inclusion1 decks20.7K decks
High Synergy Cards
Mulldrifter
58%inclusion7 decks12 decks
54%synergy
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53%inclusion46 decks86 decks
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50%inclusion6 decks12 decks
49%synergy
Obsessive Stitcher
42%inclusion5 decks12 decks
40%synergy
Vohar, Vodalian Desecrator
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40%synergy
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39%synergy
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39%synergy
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39%synergy
Top Cards
Faithless Looting
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37%synergy
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44%inclusion38 decks86 decks
36%synergy
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32%synergy
Swords to Plowshares
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Baleful Strix
42%inclusion5 decks12 decks
28%synergy
Void Rend
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27%synergy
Counterspell
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Priest of Fell Rites
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Reanimate
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Game Changers
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Vampiric Tutor
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Ancient Tomb
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Enlightened Tutor
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Creatures
Pinnacle Monk
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31%synergy
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34%inclusion29 decks86 decks
27%synergy
Solemn Simulacrum
34%inclusion29 decks86 decks
21%synergy
Hama Pashar, Ruin Seeker
33%inclusion4 decks12 decks
33%synergy
Likeness Looter
33%inclusion4 decks12 decks
30%synergy
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29%inclusion5 decks17 decks
25%synergy
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29%inclusion5 decks17 decks
23%synergy
Metamorphosis Fanatic
28%inclusion20 decks71 decks
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Abdel Adrian, Gorion's Ward
28%inclusion24 decks86 decks
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28%inclusion24 decks86 decks
19%synergy
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27%inclusion23 decks86 decks
25%synergy
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26%inclusion22 decks86 decks
24%synergy
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25%inclusion3 decks12 decks
24%synergy
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25%inclusion3 decks12 decks
24%synergy
Nulldrifter
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24%synergy
Raffine, Scheming Seer
25%inclusion3 decks12 decks
23%synergy
Toxrill, the Corrosive
25%inclusion3 decks12 decks
22%synergy
Psychic Frog
25%inclusion3 decks12 decks
22%synergy
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25%inclusion3 decks12 decks
22%synergy
Spark Double
25%inclusion3 decks12 decks
19%synergy
Piru, the Volatile
24%inclusion4 decks17 decks
22%synergy
Olivia, Crimson Bride
24%inclusion4 decks17 decks
22%synergy
Rakdos, Lord of Riots
24%inclusion4 decks17 decks
21%synergy
Kardur, Doomscourge
24%inclusion4 decks17 decks
17%synergy
Angel of Suffering
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23%synergy
Giada, Font of Hope
23%inclusion20 decks86 decks
22%synergy
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13%synergy
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14%synergy
Firja, Judge of Valor
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20%synergy
Ashen Rider
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Drana and Linvala
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17%synergy
Avacyn, Angel of Hope
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16%synergy
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11%synergy
Junji, the Midnight Sky
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16%synergy
Boggart Trawler
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15%synergy
Kroxa and Kunoros
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17%synergy
Feldon of the Third Path
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15%synergy
Rakdos, Patron of Chaos
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Aurelia, the Warleader
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10%synergy
Etali, Primal Storm
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Renegade Reaper
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16%synergy
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Lyra Dawnbringer
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16%synergy
Sheoldred, Whispering One
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13%synergy
Loran of the Third Path
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11%synergy
Sephiroth, Fabled SOLDIER
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14%synergy
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16%synergy
Angel of Serenity
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15%synergy
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16%inclusion14 decks86 decks
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Instants
Chaos Warp
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5%synergy
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34%inclusion29 decks86 decks
9%synergy
Faithful Mending
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31%synergy
Path to Exile
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Wear // Tear
29%inclusion5 decks17 decks
22%synergy
Entomb
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19%synergy
Demand Answers
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18%synergy
Despark
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9%synergy
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12%synergy
Dark Ritual
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Eerie Interlude
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12%synergy
Malakir Rebirth
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6%synergy
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Generous Gift
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-10%synergy
Ghostway
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11%synergy
Flare of Fortitude
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8%synergy
Mortify
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Semester's End
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Utter End
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4%synergy
Ephemerate
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3%synergy
Deadly Dispute
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-3%synergy
Hostile Negotiations
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8%synergy
Razorgrass Ambush
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Lethal Scheme
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Flare of Malice
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Cloudshift
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5%synergy
Stinging Study
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6%synergy
Lae'zel's Acrobatics
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5%synergy
Abstruse Appropriation
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5%synergy
Saw in Half
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3%synergy
Inkshield
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0%synergy
Cosmic Intervention
5.8%inclusion5 decks86 decks
5%synergy
Deadly Rollick
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-7%synergy
Sorceries
Unburial Rites
35%inclusion30 decks86 decks
33%synergy
Thrilling Discovery
29%inclusion5 decks17 decks
28%synergy
Mythos of Snapdax
29%inclusion5 decks17 decks
27%synergy
Cathartic Reunion
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26%synergy
Ruinous Ultimatum
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10%synergy
Damn
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12%synergy
Dread Return
27%inclusion23 decks86 decks
22%synergy
Toxic Deluge
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0%synergy
Bloodsoaked Insight
18%inclusion3 decks17 decks
15%synergy
Blasphemous Act
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-16%synergy
Living Death
17%inclusion15 decks86 decks
12%synergy
Sevinne's Reclamation
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10%synergy
Persist
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12%synergy
Agadeem's Awakening
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10%synergy
Breach the Multiverse
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8%synergy
Austere Command
12%inclusion10 decks86 decks
-1%synergy
Incarnation Technique
10%inclusion9 decks86 decks
9%synergy
Lich-Knights' Conquest
10%inclusion9 decks86 decks
9%synergy
Stitch Together
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9%synergy
Unmarked Grave
9.3%inclusion8 decks86 decks
7%synergy
Blasphemous Edict
9.2%inclusion6 decks65 decks
3%synergy
Hour of Revelation
8.1%inclusion7 decks86 decks
7%synergy
Tragic Arrogance
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7%synergy
Rite of Oblivion
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6%synergy
Starfall Invocation
7.5%inclusion6 decks80 decks
6%synergy
Lively Dirge
7.0%inclusion6 decks86 decks
5%synergy
Night's Whisper
5.8%inclusion5 decks86 decks
-3%synergy
Farewell
5.8%inclusion5 decks86 decks
-7%synergy
Utility Artifacts
Wayfarer's Bauble
20%inclusion17 decks86 decks
12%synergy
Lightning Greaves
17%inclusion15 decks86 decks
-7%synergy
Altar of Dementia
16%inclusion14 decks86 decks
14%synergy
Ashnod's Altar
16%inclusion14 decks86 decks
10%synergy
Swiftfoot Boots
13%inclusion11 decks86 decks
-14%synergy
Perpetual Timepiece
12%inclusion10 decks86 decks
11%synergy
Skullclamp
10%inclusion9 decks86 decks
-1%synergy
Matzalantli, the Great Door
9.3%inclusion8 decks86 decks
8%synergy
Phyrexian Altar
9.3%inclusion8 decks86 decks
6%synergy
Collector's Vault
8.1%inclusion7 decks86 decks
7%synergy
Palantír of Orthanc
8.1%inclusion7 decks86 decks
7%synergy
Mesmeric Orb
7.0%inclusion6 decks86 decks
6%synergy
Inspiring Statuary
5.8%inclusion5 decks86 decks
4%synergy
Archaeomancer's Map
5.8%inclusion5 decks86 decks
2%synergy
Jet Medallion
5.8%inclusion5 decks86 decks
2%synergy
Enchantments
Animate Dead
31%inclusion27 decks86 decks
22%synergy
Bitter Reunion
29%inclusion5 decks17 decks
28%synergy
Ripples of Undeath
26%inclusion22 decks86 decks
21%synergy
Dungeon Delver
25%inclusion3 decks12 decks
25%synergy
Rakdos Joins Up
24%inclusion4 decks17 decks
21%synergy
Rising of the Day
24%inclusion4 decks17 decks
19%synergy
Solemnity
21%inclusion18 decks86 decks
20%synergy
Impact Tremors
18%inclusion3 decks17 decks
8%synergy
Black Market Connections
16%inclusion14 decks86 decks
4%synergy
Cemetery Tampering
15%inclusion13 decks86 decks
14%synergy
Rampage of the Valkyries
14%inclusion12 decks86 decks
13%synergy
Necromancy
12%inclusion10 decks86 decks
8%synergy
Phyrexian Arena
12%inclusion10 decks86 decks
-4%synergy
Authority of the Consuls
10%inclusion9 decks86 decks
4%synergy
Dictate of Erebos
9.3%inclusion8 decks86 decks
6%synergy
Funeral Room // Awakening Hall
8.5%inclusion6 decks71 decks
7%synergy
Angelic Renewal
8.1%inclusion7 decks86 decks
8%synergy
Glasswing Grace
8.1%inclusion7 decks86 decks
6%synergy
Sanguine Bond
8.1%inclusion7 decks86 decks
3%synergy
Bastion of Remembrance
8.1%inclusion7 decks86 decks
2%synergy
Meathook Massacre II
7.0%inclusion5 decks71 decks
6%synergy
Dance of the Dead
7.0%inclusion6 decks86 decks
5%synergy
Tortured Existence
7.0%inclusion6 decks86 decks
5%synergy
Cleric Class
7.0%inclusion6 decks86 decks
5%synergy
Valkyrie's Call
6.2%inclusion4 decks65 decks
5%synergy
Quest for the Necropolis
5.8%inclusion5 decks86 decks
6%synergy
Out of the Tombs
5.8%inclusion5 decks86 decks
5%synergy
Life Insurance
5.8%inclusion5 decks86 decks
4%synergy
Teleportation Circle
5.8%inclusion5 decks86 decks
3%synergy
Exquisite Blood
5.8%inclusion5 decks86 decks
1%synergy
Land Tax
5.8%inclusion5 decks86 decks
-1%synergy
Battles
Invasion of Tolvada
5.8%inclusion5 decks86 decks
5%synergy
Planeswalkers
Teferi, Master of Time
33%inclusion4 decks12 decks
32%synergy
Utility Lands
Bojuka Bog
36%inclusion31 decks86 decks
6%synergy
Takenuma, Abandoned Mire
28%inclusion24 decks86 decks
19%synergy
Urborg, Tomb of Yawgmoth
24%inclusion21 decks86 decks
15%synergy
High Market
23%inclusion20 decks86 decks
21%synergy
Geier Reach Sanitarium
23%inclusion20 decks86 decks
20%synergy
Phyrexian Tower
23%inclusion20 decks86 decks
14%synergy
Vault of the Archangel
21%inclusion18 decks86 decks
9%synergy
Spymaster's Vault
20%inclusion17 decks86 decks
17%synergy
Arena of Glory
18%inclusion3 decks17 decks
11%synergy
Seraph Sanctuary
15%inclusion13 decks86 decks
14%synergy
Nesting Grounds
15%inclusion13 decks86 decks
13%synergy
Reliquary Tower
14%inclusion12 decks86 decks
-16%synergy
Emeria, the Sky Ruin
13%inclusion11 decks86 decks
10%synergy
Cabal Coffers
13%inclusion11 decks86 decks
3%synergy
Susur Secundi, Void Altar
12%inclusion3 decks26 decks
9%synergy
Eiganjo, Seat of the Empire
10%inclusion9 decks86 decks
3%synergy
Temple of the False God
9.3%inclusion8 decks86 decks
0%synergy
Midgar, City of Mako
8.6%inclusion3 decks35 decks
5%synergy
Restless Fortress
8.1%inclusion7 decks86 decks
6%synergy
Tomb Fortress
7.0%inclusion6 decks86 decks
6%synergy
Volrath's Stronghold
7.0%inclusion6 decks86 decks
6%synergy
Westvale Abbey
7.0%inclusion6 decks86 decks
5%synergy
Castle Locthwain
7.0%inclusion6 decks86 decks
3%synergy
Shizo, Death's Storehouse
7.0%inclusion6 decks86 decks
2%synergy
Monumental Henge
5.8%inclusion5 decks86 decks
3%synergy
Command Beacon
5.8%inclusion5 decks86 decks
1%synergy
Rogue's Passage
5.8%inclusion5 decks86 decks
-15%synergy
Mana Artifacts
Sol Ring
77%inclusion66 decks86 decks
-7%synergy
Arcane Signet
76%inclusion65 decks86 decks
3%synergy
Talisman of Dominance
67%inclusion8 decks12 decks
34%synergy
Orzhov Signet
56%inclusion48 decks86 decks
32%synergy
Talisman of Progress
50%inclusion6 decks12 decks
25%synergy
Rakdos Signet
47%inclusion8 decks17 decks
21%synergy
Talisman of Hierarchy
47%inclusion40 decks86 decks
20%synergy
Boros Signet
35%inclusion6 decks17 decks
15%synergy
Talisman of Indulgence
35%inclusion6 decks17 decks
7%synergy
Fellwar Stone
28%inclusion24 decks86 decks
7%synergy
Azorius Signet
25%inclusion3 decks12 decks
3%synergy
Dimir Signet
25%inclusion3 decks12 decks
-1%synergy
Talisman of Conviction
24%inclusion4 decks17 decks
-1%synergy
Mind Stone
19%inclusion16 decks86 decks
4%synergy
The Soul Stone
14%inclusion3 decks22 decks
10%synergy
Thought Vessel
12%inclusion10 decks86 decks
-6%synergy
Commander's Sphere
10%inclusion9 decks86 decks
-2%synergy
Pristine Talisman
9.3%inclusion8 decks86 decks
8%synergy
Worn Powerstone
9.3%inclusion8 decks86 decks
7%synergy
Relic of Legends
5.8%inclusion5 decks86 decks
4%synergy
Lands
Command Tower
83%inclusion71 decks86 decks
8%synergy
Watery Grave
75%inclusion9 decks12 decks
34%synergy
Raffine's Tower
67%inclusion8 decks12 decks
42%synergy
Hallowed Fountain
67%inclusion8 decks12 decks
27%synergy
Godless Shrine
57%inclusion49 decks86 decks
16%synergy
Isolated Chapel
53%inclusion46 decks86 decks
21%synergy
Caves of Koilos
50%inclusion43 decks86 decks
21%synergy
Prairie Stream
50%inclusion6 decks12 decks
16%synergy
Sunken Hollow
50%inclusion6 decks12 decks
16%synergy
Savai Triome
47%inclusion8 decks17 decks
22%synergy
Shadowy Backstreet
47%inclusion40 decks86 decks
36%synergy
Marsh Flats
42%inclusion36 decks86 decks
31%synergy
Morphic Pool
42%inclusion5 decks12 decks
17%synergy
Sacred Foundry
41%inclusion7 decks17 decks
5%synergy
Shattered Landscape
35%inclusion6 decks17 decks
27%synergy
Rakdos Carnarium
35%inclusion6 decks17 decks
23%synergy
Meticulous Archive
33%inclusion4 decks12 decks
25%synergy
Undercity Sewers
33%inclusion4 decks12 decks
22%synergy
Choked Estuary
33%inclusion4 decks12 decks
18%synergy
Sea of Clouds
33%inclusion4 decks12 decks
8%synergy
Arcane Sanctum
33%inclusion4 decks12 decks
5%synergy
Vault of Champions
31%inclusion27 decks86 decks
7%synergy
Tainted Field
30%inclusion26 decks86 decks
17%synergy
Orzhov Basilica
30%inclusion26 decks86 decks
15%synergy
Raucous Theater
29%inclusion5 decks17 decks
19%synergy
Luxury Suite
29%inclusion5 decks17 decks
5%synergy
Blood Crypt
29%inclusion5 decks17 decks
-8%synergy
Gloomlake Verge
27%inclusion3 decks11 decks
18%synergy
Floodfarm Verge
27%inclusion3 decks11 decks
18%synergy
Myriad Landscape
27%inclusion23 decks86 decks
10%synergy
Shattered Sanctum
26%inclusion22 decks86 decks
11%synergy
Contaminated Landscape
25%inclusion3 decks12 decks
18%synergy
Port Town
25%inclusion3 decks12 decks
10%synergy
Shipwreck Marsh
25%inclusion3 decks12 decks
7%synergy
Underground River
25%inclusion3 decks12 decks
3%synergy
Drowned Catacomb
25%inclusion3 decks12 decks
-4%synergy
Glacial Fortress
25%inclusion3 decks12 decks
-7%synergy
Shineshadow Snarl
24%inclusion21 decks86 decks
12%synergy
Evolving Wilds
24%inclusion21 decks86 decks
4%synergy
Exotic Orchard
24%inclusion21 decks86 decks
-12%synergy
Elegant Parlor
24%inclusion4 decks17 decks
16%synergy
Sulfurous Springs
24%inclusion4 decks17 decks
0%synergy
Spectator Seating
24%inclusion4 decks17 decks
0%synergy
Battlefield Forge
24%inclusion4 decks17 decks
-5%synergy
Smoldering Marsh
24%inclusion4 decks17 decks
-10%synergy
Dragonskull Summit
24%inclusion4 decks17 decks
-11%synergy
Fetid Heath
19%inclusion16 decks86 decks
6%synergy
Nomad Outpost
18%inclusion3 decks17 decks
-12%synergy
Clifftop Retreat
18%inclusion3 decks17 decks
-17%synergy
Bleachbone Verge
17%inclusion9 decks52 decks
9%synergy