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that ability triggers an additional time
create a 1/1 green Saproling creature token for each +1/+1 counter on Mycoloth
(Melds with Gisela
put a corpse counter on Scavenging Ghoul for each creature that died this turn
While it's true that a quillspike does heal the sick
Defense of the Heart [Urza's Legacy] Legacy that ability triggers an additionalSet: Urza's Legacy Type: Enchantment Rarity: Rare Cost: {3}{G} At the beginning of your upkeep, if an opponent controls three or more creatures, sacrifice Defense of the Heart, search your library for up to two creature cards, put those cards onto the battlefield, then shuffle.
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