
At the beginning of your upkeep, put a despair counter on this enchantment, then each player exiles X permanents they control and/or cards from their hand, where X is the number of despair counters on this enchantment.
Descent into Madness has 1 printing, first in Avacyn Restored (2012). EDHREC ranks it #24,200 among Commander cards. It appears most in Myojin of Night's Reach decks (1 on EDHREC). It has 4 official rulings.
Deck counts from EDHREC.
Cards that show up in the same decks on EDHREC.