Ad Nauseam has been the centrepiece of a classic Modern combo deck that draws its entire library and wins on the spot. The deck uses Angel's Grace or Phyrexian Unlife to ignore life loss, then converts the drawn cards into lethal damage. Although less prominent in recent metas, Ad Nauseam remains a beloved and intricate combo archetype for dedicated pilots. Its unique play pattern and puzzle-like sequencing give it enduring appeal in the Modern community.