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You can also achieve a similar effect with Chain of Smog and Witherbloom Apprentice if you are in Green and Black

In many cases, this isnt a big deal

This is a very real payoff for a towns deck, and if that deck is good, this sorcery is bound to be one of the reasons why

Combined with the low average cost of cEDHs best playables, Ad Nauseam might as well read Pay five mana, draw 20 cards. This is obviously one of the best things you could do in the entire format, especially alongside the other cards on this list (Demonic Tutor to find your last missing piece, anybody?)

As I mentioned earlier, there are a number of cards that can use the exiled cards as fodder for various effects in addition to just milling folks