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While this card primarily sees play in Commander, The Meathook Massacre also boasts an impressive competitive pedigree

When you do, cast it for its madness cost or put it into your graveyard.) You cant target the same creature twice to have it get +2/+0

Spiritual Forest X SPELL Continuous The first time each Beast, Beast-Warrior, or Plant monster you control would be destroyed by battle each turn, it is not destroyed

My Verdict: Trepanation Blade is a funny card for casual magic and is hilarious when it actually works but please dont use it in serious matches

The Red Star will not perish, it will only perish fools