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Simple discarding, might be a little annoying to play against.
Shrieking Affliction and The rack are the main win conditions , get rid of opponents cards quickly and let Pain magnification keep the opponents hand empty for a vicious cycle of upkeep damage. A turn 1 swamp,dark ritual, duress and hymn to tourach ( always cast duress first) usually paves the way to victory.
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Nevermind, just realized Shrieking Affliction does not deal damage, just causes loss of life ergo no combo with Pain Magnification ( should still work with The Rack though) .