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In short, Vorthos is examining the players from a different axis

As far as big payoffs go, you can do much worse than an 8/8 flying creature that sweeps up a few creatures from the opposing side of the battlefield

We saw it return in Innistrad: Midnight Hunt with cards like Secrets of the Key and the MID Commander card Eloise, Nephalia Sleuth

This piece stands among those at the top, not just in this year, but in the games thirty year history, and is living proof of the beautiful result of letting an artist go full flex on what they do best

Apart from that neat little interaction, Rain of Gore doesn't have much to make it fit Hollow One's gameplan, so it's interesting that this card is only found here, and not in the other top Rakdos deck, Lizards