Even if this costs life on the player's upkeeps, that's still an incredible ability that draws an astonishing number of cards
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When I suggest the possibility of, say, a quad-faced card (a physical impossibility in the real world), Forsythe says that actually sounds "totally reasonable" as skirting around physical limitations is exactly the kind of thing digital card games should be trying to do. Forsythe jokingly provides his own example of a crazy effect that would actually be going too far playing a game of Space Invaders to determine a creatures toughness when it enters the battlefield
That said, this seems unlikely, and if it does happen, I imagine it will be more the fault of Emrakul than anything else
The playing card dimensions of a MTG card are 63.5mm x 88.9mm Here are some other useful measurements to know about Large Playing cards: Standard playing card size mm: 63.5mm x 88.9mm Required bleed: 2mm along each edge Recommended margin: 5mm Rounded corner size: 3.5mm How Thick Are Playing Cards