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Most of the time it's used as a good way to smooth your hand maybe you're needing to draw a land

An enchantment with shroud, Helix Pinnacle allows you to pay any amount of mana to it at any time to put that many tower counters on it

And in addition to finding combos with existing Magic mechanics, there are also some cards that even call out exert by name

This is still a small price to pay for a Demonic Tutor-effect, and in slower decks that will always be searching for one of two or three cards, Id say its just okay

Its not like Thoughtseize is ever dead

Combine this card with ones that have abilities that ready up other cards - such as Moana, Born Leader - and Hydra, Deadly Serpent becomes a serious killing machine