Upon pickup, remove 5 cards from your Deck. After each combat, randomly add 1 back Upgraded.
Pael’s Tooth currently ranks #226 out of 292 in the Slay the Spire 2 Relics tier list with a rating of 1438.18.
This ranking is based on 33 community votes (12 wins, 21 losses) for a win rate of 36.4%.