I expect the raw card draw of Painful Truths to go a long way toward letting us line up our madness spells and our discard to maximize synergies, just by giving us more chances to find all the right combos
Its at its best when you curve it out early and keep attacking every turn
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This isnt the least efficient trick of all time or anything, but it secretly just aspires to be a draw-two, and getting both cards takes work (though brings some selection)
Thankfully, Teval, Arbiter of Virtue doesnt really care about that and just gives all your spells delve, for a cost
Its definitely useful (Combat Celebrant is a great example) and it feels super flavorful, especially the way its been changed mechanically to fit the way the plane it featured has changed