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Select Main Deck Cards

{2}{R}
Abandon Reason
Instant
Up to two target creatures each get +1/+0 and gain first strike until end of turn.

Madness {1}{R} (If you discard this card, discard it into exile. When you do, cast it for its madness cost or put it into your graveyard.)
{4}{R}
Alchemist's Greeting
Sorcery
Alchemist's Greeting deals 4 damage to target creature.

Madness {1}{R} (If you discard this card, discard it into exile. When you do, cast it for its madness cost or put it into your graveyard.)
{2}{B}
Alms of the Vein
Sorcery
Target opponent loses 3 life and you gain 3 life.

Madness {B} (If you discard this card, discard it into exile. When you do, cast it for its madness cost or put it into your graveyard.)
{2}
Altar of Dementia
Artifact
Sacrifice a creature: Target player mills cards equal to the sacrificed creature's power.
{1}{B}{R}
Anje Falkenrath
Legendary Creature - Vampire
Haste

{T}, Discard a card: Draw a card.

Whenever you discard a card, if it has madness, untap Anje Falkenrath.
1 / 3
{2}{R}
Anje's Ravager
Creature - Vampire Berserker
Anje's Ravager attacks each combat if able.

Whenever Anje's Ravager attacks, discard your hand, then draw three cards.

Madness {1}{R} (If you discard this card, discard it into exile. When you do, cast it for its madness cost or put it into your graveyard.)
3 / 3
{5}{B}{B}
Archfiend of Spite
Creature - Demon
Flying

Whenever a source an opponent controls deals damage to Archfiend of Spite, that source's controller loses that much life unless they sacrifice that many permanents.

Madness {3}{B}{B} (If you discard this card, discard it into exile. When you do, cast it for its madness cost or put it into your graveyard.)
6 / 6
{1}{U/B}{U/B}
Ashiok, Dream Render
Legendary Planeswalker - Ashiok
Spells and abilities your opponents control can't cause their controller to search their library.

-1: Target player mills four cards. Then exile each opponent's graveyard.
L: 5
{3}{U}{B}
Ashiok, Nightmare Muse
Legendary Planeswalker - Ashiok
+1: Create a 2/3 blue and black Nightmare creature token with "Whenever this creature attacks or blocks, each opponent exiles the top two cards of their library."

-3: Return target nonland permanent to its owner's hand, then that player exiles a card from their hand.

-7: You may cast up to three spells from among face-up cards your opponents own from exile without paying their mana costs.
L: 5
{1}{U}{B}
Ashiok, Nightmare Weaver
Legendary Planeswalker - Ashiok
+2: Exile the top three cards of target opponent's library.

-X: Put a creature card with mana value X exiled with Ashiok, Nightmare Weaver onto the battlefield under your control. That creature is a Nightmare in addition to its other types.

-10: Exile all cards from all opponents' hands and graveyards.
L: 3
{4}{U}{B}
Ashiok, Sculptor of Fears
Legendary Planeswalker - Ashiok
+2: Draw a card. Each player mills two cards.

-5: Put target creature card from a graveyard onto the battlefield under your control.

-11: Gain control of all creatures target opponent controls.
L: 4
{1}{B}
Asylum Visitor
Creature - Vampire Wizard
At the beginning of each player's upkeep, if that player has no cards in hand, you draw a card and you lose 1 life.

Madness {1}{B} (If you discard this card, discard it into exile. When you do, cast it for its madness cost or put it into your graveyard.)
3 / 1
{1}{R}
Avacyn's Judgment
Sorcery
Madness {X}{R} (If you discard this card, discard it into exile. When you do, cast it for its madness cost or put it into your graveyard.)

Avacyn's Judgment deals 2 damage divided as you choose among any number of targets. If this spell's madness cost was paid, it deals X damage divided as you choose among those permanents and/or players instead.
{1}{B}{B}
Big Game Hunter
Creature - Human Rebel Assassin
When Big Game Hunter enters the battlefield, destroy target creature with power 4 or greater. It can't be regenerated.

Madness {B} (If you discard this card, discard it into exile. When you do, cast it for its madness cost or put it into your graveyard.)
1 / 1
{2}{B}{B}
Biting Rain
Sorcery
All creatures get -2/-2 until end of turn.

Madness {2}{B} (If you discard this card, discard it into exile. When you do, cast it for its madness cost or put it into your graveyard.)
{2}{B}{R}
Bloodhall Priest
Creature - Vampire Cleric
Whenever Bloodhall Priest enters the battlefield or attacks, if you have no cards in hand, Bloodhall Priest deals 2 damage to any target.

Madness {1}{B}{R} (If you discard this card, discard it into exile. When you do, cast it for its madness cost or put it into your graveyard.)
4 / 4
{2}{R}
Bloodmad Vampire
Creature - Vampire Berserker
Whenever Bloodmad Vampire deals combat damage to a player, put a +1/+1 counter on it.

Madness {1}{R} (If you discard this card, discard it into exile. When you do, cast it for its madness cost or put it into your graveyard.)
4 / 1
{3}{B}
Brain Gorgers
Creature - Zombie
When you cast this spell, any player may sacrifice a creature. If a player does, counter Brain Gorgers.

Madness {1}{B} (If you discard this card, discard it into exile. When you do, cast it for its madness cost or put it into your graveyard.)
4 / 2
{2}{B}{B}
Brink of Madness
Enchantment
At the beginning of your upkeep, if you have no cards in hand, sacrifice Brink of Madness and target opponent discards their hand.
{1}{U}{U}
Broken Concentration
Instant
Counter target spell.

Madness {3}{U} (If you discard this card, discard it into exile. When you do, cast it for its madness cost or put it into your graveyard.)
{B}
Call to the Netherworld
Sorcery
Return target black creature card from your graveyard to your hand.

Madness {0} (If you discard this card, discard it into exile. When you do, cast it for its madness cost or put it into your graveyard.)
{3}{B}{B}
Chainer, Dementia Master
Legendary Creature - Human Minion
All Nightmares get +1/+1.

{B}{B}{B}, Pay 3 life: Put target creature card from a graveyard onto the battlefield under your control. That creature is black and is a Nightmare in addition to its other creature types.

When Chainer, Dementia Master leaves the battlefield, exile all Nightmares.
3 / 3
{2}{B}{R}
Chainer, Nightmare Adept
Legendary Creature - Human Minion
Discard a card: You may cast a creature spell from your graveyard this turn. Activate only once each turn.

Whenever a nontoken creature enters the battlefield under your control, if you didn't cast it from your hand, it gains haste until your next turn.
3 / 2
{2}{U}
Chilling Grasp
Instant
Tap up to two target creatures. Those creatures don't untap during their controller's next untap step.

Madness {3}{U} (If you discard this card, discard it into exile. When you do, cast it for its madness cost or put it into your graveyard.)
{2}{U}
Circular Logic
Instant
Counter target spell unless its controller pays {1} for each card in your graveyard.

Madness {U} (If you discard this card, discard it into exile. When you do, cast it for its madness cost or put it into your graveyard.)
{3}{U}{B}
Consuming Aberration
Creature - Horror
Consuming Aberration's power and toughness are each equal to the number of cards in your opponents' graveyards.

Whenever you cast a spell, each opponent reveals cards from the top of their library until they reveal a land card, then puts those cards into their graveyard.
* / *
{4}{B}{B}
Curse of Fool's Wisdom
Enchantment - Aura Curse
Enchant player

Whenever enchanted player draws a card, they lose 2 life and you gain 2 life.

Madness {3}{B} (If you discard this card, discard it into exile. When you do, cast it for its madness cost or put it into your graveyard.)
{2}{U}
Curse of the Bloody Tome
Enchantment - Aura Curse
Enchant player

At the beginning of enchanted player's upkeep, that player mills two cards.
{4}{B}{B}
Dark Withering
Instant
Destroy target nonblack creature.

Madness {B} (If you discard this card, discard it into exile. When you do, cast it for its madness cost or put it into your graveyard.)
{3}{B}{B}
Descent into Madness
Enchantment
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.
{1}{R}
Distemper of the Blood
Sorcery
Target creature gets +2/+2 and gains trample until end of turn.

Madness {R} (If you discard this card, discard it into exile. When you do, cast it for its madness cost or put it into your graveyard.)
{5}{B}{B}
Dusk Feaster
Creature - Vampire
Delirium -- This spell costs {2} less to cast if there are four or more card types among cards in your graveyard.

Flying
4 / 5
{3}{U}
Fact or Fiction
Instant
Reveal the top five cards of your library. An opponent separates those cards into two piles. Put one pile into your hand and the other into your graveyard.
{R}
Faithless Looting
Sorcery
Draw two cards, then discard two cards.

Flashback {2}{R} (You may cast this card from your graveyard for its flashback cost. Then exile it.)
{R}
Falkenrath Gorger
Creature - Vampire Berserker
Each Vampire creature card you own that isn't on the battlefield has madness. The madness cost is equal to its mana cost. (If you discard a card with madness, discard it into exile. When you do, cast it for its madness cost or put it into your graveyard.)
2 / 1
{2}{U}
Frantic Search
Instant
Draw two cards, then discard two cards. Untap up to three lands.
{2}{U}
Fraying Sanity
Enchantment - Aura Curse
Enchant player

At the beginning of each end step, enchanted player mills X cards, where X is the number of cards put into their graveyard from anywhere this turn.
{3}{B}{B}
From Under the Floorboards
Sorcery
Madness {X}{B}{B} (If you discard this card, discard it into exile. When you do, cast it for its madness cost or put it into your graveyard.)

Create three tapped 2/2 black Zombie creature tokens and you gain 3 life. If this spell's madness cost was paid, instead create X of those tokens and you gain X life.
--
Geier Reach Sanitarium
Legendary Land
{T}: Add {C}.

{2}, {T}: Each player draws a card, then discards a card.
{4}{B}{B}
Gibbering Descent
Enchantment
At the beginning of each player's upkeep, that player loses 1 life and discards a card.

Hellbent -- Skip your upkeep step if you have no cards in hand.

Madness {2}{B}{B} (If you discard this card, discard it into exile. When you do, cast it for its madness cost or put it into your graveyard.)
{1}{R}
Gibbering Fiend
Creature - Devil
When Gibbering Fiend enters the battlefield, it deals 1 damage to each opponent.

Delirium -- At the beginning of each opponent's upkeep, if there are four or more card types among cards in your graveyard, Gibbering Fiend deals 1 damage to that player.
2 / 1
{U}{B}
Glimpse the Unthinkable
Sorcery
Target player mills ten cards.
{2}{B}{B}
Grisly Spectacle
Instant
Destroy target nonartifact creature. Its controller mills cards equal to that creature's power.
{4}{B}
Hound of the Farbogs
Creature - Zombie Dog
Delirium -- Hound of the Farbogs has menace as long as there are four or more card types among cards in your graveyard. (A creature with menace can't be blocked except by two or more creatures.)
5 / 3
{X}{U}
Increasing Confusion
Sorcery
Target player mills X cards. If this spell was cast from a graveyard, that player mills twice that many cards instead.

Flashback {X}{U} (You may cast this card from your graveyard for its flashback cost. Then exile it.)
{2}{U}{U}
Induce Paranoia
Instant
Counter target spell. If {B} was spent to cast this spell, that spell's controller mills X cards, where X is the spell's mana value.
{U}
Invasive Surgery
Instant
Counter target sorcery spell.

Delirium -- If there are four or more card types among cards in your graveyard, search the graveyard, hand, and library of that spell's controller for any number of cards with the same name as that spell, exile those cards, then that player shuffles.
{1}{U}
Just the Wind
Instant
Return target creature to its owner's hand.

Madness {U} (If you discard this card, discard it into exile. When you do, cast it for its madness cost or put it into your graveyard.)
{1}{U}{B}{R}
Kess, Dissident Mage
Legendary Creature - Human Wizard
Flying

Once during each of your turns, you may cast an instant or sorcery spell from your graveyard. If a spell cast this way would be put into your graveyard, exile it instead.
3 / 4
{2}{B}
Kindly Stranger
Creature - Human
Delirium -- {2}{B}: Transform Kindly Stranger. Activate only if there are four or more card types among cards in your graveyard.
2 / 3
--
Demon-Possessed Witch
Creature - Human Shaman

When this creature transforms into Demon-Possessed Witch, you may destroy target creature.
2 / 3
{3}{R}
Malevolent Whispers
Sorcery
Gain control of target creature until end of turn. Untap that creature. It gets +2/+0 and gains haste until end of turn.

Madness {3}{R} (If you discard this card, discard it into exile. When you do, cast it for its madness cost or put it into your graveyard.)
{1}{U}
Manic Scribe
Creature - Human Wizard
When Manic Scribe enters the battlefield, each opponent mills three cards.

Delirium -- At the beginning of each opponent's upkeep, if there are four or more card types among cards in your graveyard, that player mills three cards.
0 / 3
{1}{U}{U}
Memory Erosion
Enchantment
Whenever an opponent casts a spell, that player mills two cards.
{U/B}{U/B}{U/B}{U/B}
Memory Plunder
Instant
You may cast target instant or sorcery card from an opponent's graveyard without paying its mana cost.
{1}{U}{B}
Mind Funeral
Sorcery
Target opponent reveals cards from the top of their library until four land cards are revealed. That player puts all cards revealed this way into their graveyard.
{X}{U}{B}
Mind Grind
Sorcery
Each opponent reveals cards from the top of their library until they reveal X land cards, then puts all cards revealed this way into their graveyard. X can't be 0.
{2}
Mindcrank
Artifact
Whenever an opponent loses life, that player mills that many cards. (Damage causes loss of life.)
{2}{B}{B}
Mindwrack Demon
Creature - Demon
Flying, trample

When Mindwrack Demon enters the battlefield, mill four cards.

Delirium -- At the beginning of your upkeep, you lose 4 life unless there are four or more card types among cards in your graveyard.
4 / 5
{3}{U}{B}
Mirko Vosk, Mind Drinker
Legendary Creature - Vampire
Flying

Whenever Mirko Vosk, Mind Drinker deals combat damage to a player, that player reveals cards from the top of their library until they reveal four land cards, then puts those cards into their graveyard.
2 / 4
{1}{B}
Murderous Compulsion
Sorcery
Destroy target tapped creature.

Madness {1}{B} (If you discard this card, discard it into exile. When you do, cast it for its madness cost or put it into your graveyard.)
{1}{U}
Nagging Thoughts
Sorcery
Look at the top two cards of your library. Put one of them into your hand and the other into your graveyard.

Madness {1}{U} (If you discard this card, discard it into exile. When you do, cast it for its madness cost or put it into your graveyard.)
{U}
Obsessive Search
Instant
Draw a card.

Madness {U} (If you discard this card, discard it into exile. When you do, cast it for its madness cost or put it into your graveyard.)
{2}{B}
Pick the Brain
Sorcery
Target opponent reveals their hand. You choose a nonland card from it and exile that card.

Delirium -- If there are four or more card types among cards in your graveyard, search that player's graveyard, hand, and library for any number of cards with the same name as the exiled card, exile those cards, then that player shuffles.
{2}{U}
Psychic Corrosion
Enchantment
Whenever you draw a card, each opponent mills two cards.
{1}{B}{B}
Psychotic Episode
Sorcery
Target player reveals their hand and the top card of their library. You choose a card revealed this way. That player puts the chosen card on the bottom of their library.

Madness {1}{B} (If you discard this card, discard it into exile. When you do, cast it for its madness cost or put it into your graveyard.)
{2}{B}{B}
Psychotic Haze
Instant
Psychotic Haze deals 1 damage to each creature and each player.

Madness {1}{B} (If you discard this card, discard it into exile. When you do, cast it for its madness cost or put it into your graveyard.)
{B}
Sanitarium Skeleton
Creature - Skeleton
{2}{B}: Return Sanitarium Skeleton from your graveyard to your hand.
1 / 2
{1}{B}{R}
Sanity Gnawers
Creature - Rat
When Sanity Gnawers enters the battlefield, target player discards a card at random.
1 / 1
{U}{U}{U}
Sanity Grinding
Sorcery
Chroma -- Reveal the top ten cards of your library. For each blue mana symbol in the mana costs of the revealed cards, target opponent mills a card. Then put the cards you revealed this way on the bottom of your library in any order.
{4}{U}{U}
Scour the Laboratory
Instant
Delirium -- This spell costs {2} less to cast if there are four or more card types among cards in your graveyard.

Draw three cards.
{1}{R}
Senseless Rage
Enchantment - Aura
Enchant creature

Enchanted creature gets +2/+2.

Madness {1}{R} (If you discard this card, discard it into exile. When you do, cast it for its madness cost or put it into your graveyard.)
{2}{R}
Shreds of Sanity
Sorcery
Return up to one target instant card and up to one target sorcery card from your graveyard to your hand, then discard a card. Exile Shreds of Sanity.
{4}{B}{R}
Sire of Insanity
Creature - Demon
At the beginning of each end step, each player discards their hand.
6 / 4
{2}{U}{U}
Startled Awake
Sorcery
Target opponent mills thirteen cards.

{3}{U}{U}: Put Startled Awake from your graveyard onto the battlefield transformed. Activate only as a sorcery.
--
Persistent Nightmare
Creature - Nightmare

Skulk (This creature can't be blocked by creatures with greater power.)

When Persistent Nightmare deals combat damage to a player, return it to its owner's hand.
{1}{B}
Strength of Lunacy
Enchantment - Aura
Enchant creature

Enchanted creature gets +2/+1 and has protection from white.

Madness {B} (If you discard this card, discard it into exile. When you do, cast it for its madness cost or put it into your graveyard.)
{2}{B}{B}
Struggle for Sanity
Sorcery
Target opponent reveals their hand. That player exiles a card from it, then you exile a card from it. Repeat this process until all cards in that hand have been exiled. That player returns the cards they exiled this way to their hand and puts the rest into their graveyard.
{1}{B}
Surging Dementia
Sorcery
Ripple 4 (When you cast this spell, you may reveal the top four cards of your library. You may cast spells with the same name as this spell from among those cards without paying their mana costs. Put the rest on the bottom of your library.)

Target player discards a card.
{3}{R}
Temporary Insanity
Instant
Untap target creature with power less than the number of cards in your graveyard and gain control of it until end of turn. That creature gains haste until end of turn.
{1}{U}{B}
Thief of Sanity
Creature - Specter
Flying

Whenever Thief of Sanity deals combat damage to a player, look at the top three cards of that player's library, exile one of them face down, then put the rest into their graveyard. You may cast that card for as long as it remains exiled, and mana of any type can be spent to cast it.
2 / 2
{U}
Thought Scour
Instant
Target player mills two cards.

Draw a card.
{2}{B}
To the Slaughter
Instant
Target player sacrifices a creature or planeswalker.

Delirium -- If there are four or more card types among cards in your graveyard, instead that player sacrifices a creature and a planeswalker.
{2}{B}
Tooth Collector
Creature - Human Rogue
When Tooth Collector enters the battlefield, target creature an opponent controls gets -1/-1 until end of turn.

Delirium -- At the beginning of each opponent's upkeep, if there are four or more card types among cards in your graveyard, target creature that player controls gets -1/-1 until end of turn.
3 / 2
{3}{U}{U}
Traumatize
Sorcery
Target player mills half their library, rounded down.
{4}{B}
Twins of Maurer Estate
Creature - Vampire
Madness {2}{B} (If you discard this card, discard it into exile. When you do, cast it for its madness cost or put it into your graveyard.)
3 / 5
{2}{U}{U}
Welcome to the Fold
Sorcery
Madness {X}{U}{U} (If you discard this card, discard it into exile. When you do, cast it for its madness cost or put it into your graveyard.)

Gain control of target creature if its toughness is 2 or less. If this spell's madness cost was paid, instead gain control of that creature if its toughness is X or less.
{2}{U}{B}
Whispering Madness
Sorcery
Each player discards their hand, then draws cards equal to the greatest number of cards a player discarded this way.

Cipher (Then you may exile this spell card encoded on a creature you control. Whenever that creature deals combat damage to a player, its controller may cast a copy of the encoded card without paying its mana cost.)
{1}{B}
Whispers of Emrakul
Sorcery
Target opponent discards a card at random.

Delirium -- If there are four or more card types among cards in your graveyard, that player discards two cards at random instead.