Vivisurgeon's Insight

Sorcery

Draw three cards. Proliferate. (Choose any number of permanents and/or players, then give each another counter of each kind already there.)

CMC
5
Mana cost
{3}{U}{U}
Color identity
U
Rarity
common
Set
Phyrexia: All Will Be One
Price
$0.26
EDHREC rank
#7314
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Vivisurgeon's Insight card art
Vivisurgeon's Insight puts three oil counters on a target permanent and draws you a card — for two mana at instant speed, that's a lot of work per mana spent. In any deck built around Tekuthal, Inquiry Dominus, that trigger doubles to six counters, which is enough to immediately meet most proliferate payoff thresholds in a single cast.

Best Commanders

Commanders with the highest synergy

01
Tekuthal, Inquiry Dominus

Tekuthal, Inquiry Dominus

52.3% of decks · synergy 0.51

Tekuthal, Inquiry Dominus doubles every oil counter Vivisurgeon's Insight places, turning a three-counter setup spell into a six-counter explosive one that can close condition checks on key permanents in a single shot.

02

Jin-Gitaxias

32.0% of decks · synergy 0.30

Jin-Gitaxias cares about proliferating to charge up phyresis and oil-counter synergies, and Vivisurgeon's Insight slots in as cheap, instant-speed fuel that replaces itself with a draw.

03
Ezuri, Stalker of Spheres

Ezuri, Stalker of Spheres

29.1% of decks · synergy 0.29

Ezuri, Stalker of Spheres triggers off proliferate, so Vivisurgeon's Insight functions as a cantrip that also advances the board — drawing a card while simultaneously pinging Ezuri's counter engine.

04
Mizzix of the Izmagnus

Mizzix of the Izmagnus

17.3% of decks · synergy 0.17

Mizzix of the Izmagnus rewards casting instant and sorcery spells that accumulate experience counters, and Vivisurgeon's Insight provides an experience trigger plus a free draw once experience counters reduce its cost.

Format Analysis

Where it lives, where it can’t

FormatVerdict
commander
legacy
modern
pioneer
standard
vintage
pauper
oathbreaker

Commander is where Vivisurgeon's Insight belongs — proliferate strategies, oil-counter synergies, and Phyrexian-tribal builds all give it a natural home and the card slots justify its inclusion. In Pauper, it's legal and the instant-speed cantrip body is real, but dedicated proliferate shells are narrow enough that most decks will skip it. Modern and Pioneer have access to it on paper, but neither format has a competitive shell that wants to spend two mana on oil counters without more redundancy around the effect. Legacy and Vintage have the tools to support it but also have strictly more powerful options occupying the same role.

Key Combos

Combo lines featuring this card

Price Context

Current price

$0.26 bulk tier

At $0.26, Vivisurgeon's Insight is deep bulk — pick it up without thinking. Bulk rares with narrow but dedicated Commander homes tend to sit at this price indefinitely, so there's no urgency beyond just needing the card.

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Mentioned

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Updated . Data from Scryfall, EDHREC, and Commander Spellbook.