First printed in Shards of Alara (2008)
All 5 prints
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Secrets of Strixhaven Mystical Archive (SOA) #155, 2026
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Secrets of Strixhaven Mystical Archive (SOA) #25, 2026
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Secrets of Strixhaven Mystical Archive (SOA) #90, 2026
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Double Masters (2XM) #76, 2020
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Shards of Alara (ALA) #63, 2008
Ad Nauseam 


Instant
Reveal the top card of your library and put that card into your hand. You lose life equal to its mana value. You may repeat this process any number of times.
In the last 30 days 1.3% of Legacy decks played it (14 of 1071). Most played in Doomsday. In the last 30 days 23.1% of Commander decks played it (1420 of 6150). Most played in Kraum, Ludevic's Opus + Tymna the Weaver.
Staple
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Commander staples:
main deck, 23% of decks (#114)
Black, Instants, Card draw
Last 120 days of MTGO results and paper tournaments.
Combos
16 combos from Commander Spellbook, the most popular first.
- Infinite card draw: Ad Nauseam + Teferi's Protection
- Infinite card draw: Ad Nauseam + Phyrexian Unlife
- Infinite card draw: Ad Nauseam + Platinum Angel
- Infinite card draw: Ad Nauseam + Flare of Fortitude
- Near-infinite damage: Ad Nauseam + Angel's Grace + Sickening Dreams
- Win the game: Ad Nauseam + Angel's Grace + Laboratory Maniac
- Infinite card draw, Win the game: Ad Nauseam + Angel's Grace + Jace, Wielder of Mysteries
- Infinite card draw: Ad Nauseam + Lich
- Infinite card draw: Ad Nauseam + Cloudsteel Kirin
- Win the game at the beginning of your next upkeep: Ad Nauseam + Triskaidekaphile
Legality
Constructed
- Standard Not legal
- Pioneer Not legal
- Modern Legal
- Legacy Legal
- Vintage Legal
- Pauper Not legal
- Future Standard Not legal
- Historic Legal
- Timeless Legal
- Alchemy Not legal
- Penny Dreadful Legal
- Premodern Not legal
- Old School 93/94 Not legal
Singleton
- Gladiator Legal
Commander formats
- Commander Legal
- Duel Commander Legal
- Pauper Commander Not legal
- PreDH Legal
- Tiny Leaders Not legal
- Oathbreaker Banned
- Brawl Legal
- Standard Brawl Not legal
- Competitive Brawl Legal