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Harsh Sustenance Harsh Sustenance works best in Commander, where players have plenty of time to amass massive board states to blast players away

I think it is also really deck dependant, but if you can find ways to get this to trigger when you need it to, it could be a great way to screw with opponents in combat or via effects you might have available in your graveyard

So for instance, Dredge is a good choice if your metagame is flooded with Murktide, Grixis Shadow, Burn, blue control decks, 4c Omnath etc

It generally stems from the Pokemon Company implementing new mechanics and cards, before going wild with the artwork