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This has implications not only in EDH, but also against control decks in Standard, for example

From a mechanical perspective, this life loss drawback is reminiscent of black cards like Phyrexian Negator or Plague Spitter, but with a redemptive twist built in

It is no longer just a wide board

Bristly Bill, Spine Sower and Terror of the Peaks are the cards you want to open the most

Selvala, Heart of the Wilds Selvala, Heart of the Wilds activated ability is a good source of both ramp and mana fixing, even on its own

If Sandworm's last ability resolves but doesn't destroy the target land (probably because the land had indestructible), the target land's controller still gets to search for a basic land card