Upon pickup, remove 5 cards from your Deck. After each combat, randomly add 1 back Upgraded.
Pael’s Tooth currently ranks #227 out of 292 in the Slay the Spire 2 Relics tier list with a rating of 1436.96.
This ranking is based on 38 community votes (14 wins, 24 losses) for a win rate of 36.8%.