Gibbering Descent

{4}{B}{B} · Enchantment · from $2.75

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.)

Format legality

Tinybones, Trinket Thief (cEDH, 0.1% of the meta): 1 in the main deck of 25% of lists
Anje Falkenrath (cEDH, 0.1% of the meta): 1 in the main deck of 33% of lists