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The aggressive decks of today could cream the aggressive decks of yesteryear, and would only really struggle with the extra boardwipes that used to be played

Darksteel Citadel + Simian Spirit Guide + Boom / Bust Turn two lay a Mountain followed by another Boom / Bust Turn three any land then some Molten Rain Stone Rain action

All in all, milling your opponent out isnt a particularly great strategy, and lets face it: there are much better cards youd want to play than Trepanation Blade

The same is true if an opponent's permanent gains one of those abilities after Shay Cormac's first ability resolves

Pawpatch Formation, for instance, is mainly a sideboard card, but one that slots nicely into practically any green deck