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It does do that, but that isn't actually the defining feature of the strategy

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Sacrifice after III.) I: Search your library for a Doctor card, reveal it, put it into your hand, then shuffle

Most Used Format Non-Meta Decks Public Decks 201 Tournament Decks 45 Top: TCG Total Copies 343 Avg Copies / Deck 1.71 Main Deck 97.4% 334 copies in 197 decks Extra Deck 0% 0 copies in 0 decks Side Deck 2.6% 9 copies in 9 decks Similar Cards Cards with related names, effects, or gameplay patterns

That neednt be the case

Probably the most common cost for an activated ability is to pay some amount of mana, so most instances of paying mana are to activate an ability