There are a few peculiarities - you attack yourself, effects that target an opponent target you instead, and a few cards may not work like they do in duels or multiplayer
It reads like a symmetrical effect but it almost always locks up the game for the player who cast it, hence its long-standing position on the Commander banlist
Mill, however, seems to promote more of an unease and anxiety that they could have drawn what they ended up milling
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in this case, you get both effects at once, each of which is intentionally designed to toggle your life total so you end up in that situation
