A few other payoffs for this strategy include Ashiok, Wicked Manipulator and Ashiok, Nightmare Muse for additional finishers
Over time, this enchantment locks down hands and chips at life totals, especially nasty when paired with The Haunt of Hightower to grow stronger off every discard
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If a card requires you to discard your entire hand and draw new cards (such as Windfall), Psychosis Crawler will not die since state-based actions aren't checked until the spell finishes resolving, and you'll have a hand of cards once it does, keeping Psychosis Crawler alive
Madison Li still nets you energy if it stays on the board, providing a constant threat of artifact reanimation
Theres a lot of unpack here, and I still have five more broken cards to get through