Shadowspear easily makes the top 10 equipment
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In a case where you put more than one +1/+1 counter on Etched Slith with its last ability (for example, because of the effect of Doubling Season), the reflexive ability will trigger once for each +1/+1 counter you put on it this way
In addition to helping power out the three-mana threat ahead of schedule, your mana-producing artifacts are likely to stick around and continue enabling Metalcraft to protect your Champion long after your artifact creatures have been wiped away with creature removal
I can definitely understand people not putting Yawgmoth, Thran Physician in their top five list as its only played in one deck, which isnt a dominant player in the metagame either, but the card makes the archetype and there arent too many good mono-black creatures in Modern right now