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.

The stairs lead down in both directions.

• Number: 97
• Rarity: M
• Type: Enchantment
• Mana cost: 3BB
• Color: Black