Its broken with Moxes, with cantrips, with Gush, with pitch spells, the list goes on and on, and thats to say nothing of how broken it is with Time Walk
Finally, you can spend 9 loyalty to activate: If target player has fewer than nine poison counters, they get a number of poison counters equal to the difference. All you have to do then is add another poison counter somehow - say, by proliferating - and that opponent is dead
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While I wouldnt have recommended this set at market prices during launch (especially knowing that the short supply was not an intended feature), once the price dropped below $100 per box, it became pretty attractive as an investment
Even in a town deck I don't think it's a good idea to run this
It might feel like the only way to deal with something like that is to remove it immediately, which is only a short-term solution when dealing with someones commander