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Apparently, the multiverse has caused an event known as The Great Pruning, in which most planeswalker sparks have vanished: It was the Multiverse's attempt to heal itself from the Phyrexian invasion, the artificial portals created by Realmbreaker, and the explosion of the Sylex in the Blind Eternities when Elspeth snatched it from Jace

Since the Doctor is inherently large depending on the token count, you can even do things like blinking him to get his enters-the-battlefield trigger again and have him stand at the ready for blocking duty if need be

Because of this, it remains a very easy card to switch out if you see it taking too much damage

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However good Roxanne is, there are some serious conditions around playing it that makes it a more balanced sort of card