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That's because, since around 2019, the average power level of newly released precon Commander decks have steadily increased

The following rulings focus on what it means if your life total can't change Spells and abilities that would normally cause you to gain or lose life still resolve while your life total can't change, but the life-gain or life-loss part simply has no effect

Thankfully, this card has been banned from all sanctioned tournaments due to its ante nature

Theoretically this card can only bring card disadvantage (discard two cards plus the Careful Study itself to draw two cards), but with Madness this "disadvantage" never felt so good