Descent into Madness (AVR) from Avacyn Restored, available at 401 Games Canada.

• Rarity: Mythic Rare
• Finish: Normal
• Artist: Anthony Francisco
• Card Text:
  At the beginning of your upkeep, put a despair counter on Descent into Madness, then each player exiles X permanents he or she controls and/or cards from his or her hand, where X is the number of despair counters on Descent into Madness.