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each opponent sacrifices three creatures of their choice
it deals 5 damage to target creature or planeswalker an opponent controls
You may return an Island you control to its owner's hand rather than pay this spell's mana cost
When it dies
Surgical Extraction (NPH-074) - New Phyrexia Foil Condition:Lightly Played each opponent sacrifices three creaturesCasting Cost Card TypeInstant RarityRare ArtistSteven Belledin Legalities NOT LEGAL Standard NOT LEGAL Future LEGAL Historic LEGAL Timeless LEGAL Gladiator NOT LEGAL Pioneer LEGAL Modern LEGAL Legacy NOT LEGAL Pauper LEGAL Vintage NOT LEGAL Penny LEGAL Commander LEGAL Oathbreaker NOT LEGAL Standardbrawl LEGAL Brawl NOT LEGAL Alchemy NOT LEGAL Pauper Commander LEGAL Duel NOT LEGAL Oldschool NOT LEGAL Premodern LEGAL Predh ({B P} can be paid with either
