Geier Reach Sanitarium

Geier Reach Sanitarium

Legendary Land

: Gain .

, : Each player draws a card, then discards a card.

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Have (2) jpv , metalmagic
Want (4) bloodmoonhowler , racso802 , psycocat , Darimasus

Printings View all

Set Rarity
Commander 2019 (C19) Rare
Eldritch Moon (EMN) Rare

Combos Browse all


Format Legality
Tiny Leaders Legal
1v1 Commander Legal
Magic Duels Legal
Canadian Highlander Legal
Vintage Legal
Modern Legal
2019-10-04 Legal
Block Constructed Legal
Pioneer Legal
Leviathan Legal
Legacy Legal
Frontier Legal
Duel Commander Legal
Oathbreaker Legal
Unformat Legal
Casual Legal
Commander / EDH Legal

Geier Reach Sanitarium occurrence in decks from the last year

Commander / EDH:

All decks: 0.05%

Red: 0.16%

Black: 0.16%

Golgari: 0.11%

Geier Reach Sanitarium Discussion

Roo182 on Karlov/Sorin Blessed

1 week ago

Hi LordBlackblade - Please see below for my responses:


If I cull those 7 lands, do I just replace them with basics? Or are there other suggestions I can sub them with? I am just worried because this will leave me with only 26 lands which is way too low.


Curse of Fool's Wisdom - I agree - I only had this in there to proc with Geier Reach Sanitarium which has also been removed so this is an easy cull.

Armillary Sphere - I'll leave this one in I think, I gotta ratio some cards I actually own, haha

Bontu's Monument - I actually agree with you here, this one has been one of my potential cuts for a while, it looks like I only have 18 creatures there in current state, this is a smart cut, let's do it.

Fountain of Renewal - I see what you're saying. I'll leave it for now and see what else we can cull, but having a diverse array of ways to gain life is my goal here.


Final Parting - I think for the price, this works fine for now. I am willing to sac 1 card to find any other card I want, unless there's a $1 tutor I could sub in that doesn't force that discard?


Drana's Emissary - See Fountain of Renewal :D

Ranger of Eos - This is a good flag - reason I kept Ranger in here was because I'd want him to go and find specifics, if he can come out and trigger to get any one of Leonin Elder, Soul Warden or Soul's Attendant, it could be really good for my setup. If we think it's too flimsy, we can remove it, but having the ability to set up into life gain from Artifacts/Creatures splash ETB seems a good option.


Murder - Agreed, this is purely in here because cheap/I own it. I will actually remove it though in favor of some of the better cards below

Ray of Distortion - I think I'll keep it for now as I own it and the choice/flashback provides pretty good value



Ashes of the Abhorrent - Deathgreeter in enchantment form. Also hoses some graveyard strategies

I love this, instant add!


Sun Droplet - This card is a sleeper! Not that it says each upkeep, helping you stack those sweet, sweet Karlov triggers

Oh man, the amount of time's I've removed or added this card is ridiculous. But the more I look at it, the more I think "ok, this is either a massive threat deterrent, or, a massive buff". gotta add it.

Talisman of Hierarchy - I love the talismans. Great rocks in any multicolor EDH deck in my opinion

This is a perfect card to replace one of those lands you mentioned above (I ditched Orzhov Guildgate)


Read the Bones - One of my favorite black draw spells. Card selection plus draw is generally very powerful

This is huge, added

Syphon Mind - A critically underplayed draw spell in my opinion. Puts you up quite a few cards on each opponent

Really struggling to get this into the deck. Potentially can remove Ranger of Eos as this does create some crazy draw / counter... thoughts? Or maybe one of the weaker (Night's Whisper) or high CMC Draw Spells like Hedron Archive or Solemn Simulacrum?


Blood Artist / Deathgreeter - This guy does work in so many situations. Usually an auto-target in most metas, that just goes to show how powerful the effect is

Another one that I've added and removed so many times. Suggestions for what comes out for it?

Cliffhaven Vampire / Vizkopa Guildmage - If you're going to run Sanguine Bond, you should consider this guy too

Agreed, same issue though - what isn't giving me enough value with Sanguine/Exquisite to warrant taking out for this?

Divinity of Pride - Similar to Serra Ascendant, big beater for cheap plus lifelink!

See Blood Artist resonse - however I am aware this deck lacks any other source of damage outside of Swol Karlov, so things like Walking Ballista and Serra Ascendant will be handy. I do have Sunscorch Regent - is that worth taking out for this?


Return to Dust - Gives you options and can snag two cards for one. Considered a staple in some circles

Good add, I removed Kaya's Guile but not sure if this was the right choice?

LordBlackblade on Karlov/Sorin Blessed

1 week ago

And it looks like spoilers don't work in comments, at least not for me! So much for keeping things neat. Anyway, here's what I wanted to say:




  • Curse of Fool's Wisdom - This really screws over one opponent, but what you should be shooting for is stuff that does "splash damage" so to speak, remember, you will usually have three or more opponents in a game.


  • Armillary Sphere - This one is just okay. Ensures you hit land drops, but doesn't boost you

  • Bontu's Monument - I don't feel like you're running enough creatures for this effect to pay off

  • Fountain of Renewal - "On your upkeep" effects seem really powerful, but on a multiplayer format, your upkeep happens less often relatively speaking. It's not terrible for the cost, but I'm sure we can do better


  • Final Parting - I don't think you have enough graveyard interaction to make this better than other tutors



  • Murder - There are definitely better kill spells we can find

  • Ray of Distortion - Not bad, you're definitely getting that choice is key in EDH; however, I think there are a couple better options to choose from




  • Sun Droplet - This card is a sleeper! Not that it says each upkeep, helping you stack those sweet, sweet Karlov triggers

  • Talisman of Hierarchy - I love the talismans. Great rocks in any multicolor EDH deck in my opinion


  • Read the Bones - One of my favorite black draw spells. Card selection plus draw is generally very powerful

  • Syphon Mind - A critically underplayed draw spell in my opinion. Puts you up quite a few cards on each opponent



  • Return to Dust - Gives you options and can snag two cards for one. Considered a staple in some circles

(I've been on this site a long time and I still haven't figured out the quirks of coding on here all that well!)

LordBlackblade on Karlov/Sorin Blessed

1 week ago

I took a gander. Honestly, not bad for you first list!

Here are some adds that might be worth considering. I know multimedia already recommended some of these, but here is my take:

Adds Show

Here are my cut recommendations to make room for upgrades/changes:

Cuts Show

Roo182 on Karlov/Sorin Blessed

1 week ago

Ok multimedia - work is done, time for some brewin'!

For $25 you can make big upgrades to the manabase.

I added all of those, but unsure what to remove. If I had to swap out 4 other lands:

Consider a few more low CMC creatures who have interaction with Karlov?

  • Suture Priest - This was a hard cut for me as it does combo really well with Sanguine Bond and Exquisite Blood, what do you suggest removing in its place?
  • Mother of Runes - Decided to cut this based on having other protection but happy to hear suggestions
  • Vizkopa Guildmage - He's part of my combo/loop category there, but again had to trim one card from all areas to keep it balanced.
  • Ayli, Eternal Pilgrim - At first I was going to skip her, but as you mentioned below with Phyrexian Reclamation, she's OP with her ability to Sac Karlov + exile non-land permanents. Suggestions on what to remove to fit her in? (She's on Maybeboard right now)

Walking Ballista with Heliod, Sun-Crowned and Phyrexian Reclamation is a combo with cards that are individually better vs Exquisite Blood

Hmmmm I am on the fence here too. I did have Ballista, and took it to cut some costs, and I see that if Exquisite is out, it has so much value and can trigger so many times in EDH. Do you have some good scenarios outside of those two cards? And what would come out for it if I wanted to keep both eventually? I can see how it can just pop-off and get huge though...

Phyrexian Reclamation can help to keep Karlov out of the Command Zone since you can recur him and cast him from your hand instead of the Zone.

Agreed, I actually didn't know you can opt to let your Commander hit the Graveyard, so I have added Phyrexian Reclamation but not sure what I can remove to fit it in? Gotta remember that Sorin, Vengeful Bloodlord has a similar ability to retrieve from Graveyards too. One other thing I added which I need feedback on is combining Curse of Fool's Wisdom with Geier Reach Sanitarium - If this isn't worth it, it saves 2 card slots. For now I just removed a swamp.

Another expensive price combo option is Necropotence which is a combo with Bolas's Citadel. Necro can exile lands on the top of your library to allow you to keep casting cards with Citadel.

This one of the ones I do see value in, but I feel like it will overly complicate the deck and the mechanic doesn't appeal to me as much. I might bench this as a future upgrade or potential modification for now, and try use it with Krrik's Phyrexian mana ability, Aetherflux and Serra Ascendant.

Ruin Raider and Dark Tutelage are cards to consider adding since they're repeatable draw sources for no mana cost and give you value using life. Swords to Plowshares and Generous Gift are budget removal spell upgrades.

  • Ruin Raider / Dark Tutelage - these appeal to me but I am very stuck on what I can take out for these.

  • Swords to Plowshares - although I see how it can be useful, I think the removals I have work better. Is there a way to use this with Karlov but bounce him to anywhere EXCEPT exile?

  • Generous Gift - I already have cheap removals, so I might pass here unless there's other ways I can save some $?

I haven't given any suggestions of cards to consider cutting. I can in another comment if you would like?

I would LOVE this! That's the hardest part!

StopShot on 8 rack pioneer

1 week ago

Fell Specter seems like a pseudo-rack you could really take advantage of. It would make a powerful synergy with Geier Reach Sanitarium.

Torment of Scarabs also seems like a card that would perfectly eat away at your opponent.

Apotheosis616 on I'm Walking on Sunshine

2 weeks ago


Devoted Caretaker was in a previous iteration of the deck. Ultimately the card was taken out because there is a lot more Pyroclasm type of cards than single target removal. Also, there were just other cards that needed to be included more than this one.


Unfortunately, Mikokoro, Center of the Sea is just a really bad card. Paying for everyone to draw a card is super bad in competitive. The same goes for Geier Reach Sanitarium. The only reason Geier Reach Sanitarium is seeing some play, is because it has the discard clause. However, these cards really are not worth the inclusion even if they can theoretically stop an oracle deck from winning. In most cases, you will never tutor for this card, you will never have it when you need it, it will suck when you have it, and a good oracle player can Tainted Pact leaving 2 cards left so they don't die to it.

Maizena on Nekusar, the Friendship Destroyer [[PRIMER]]

2 weeks ago
  • mistborn314 I'm aware of the primer problem, but I'm short on time to fix it right now.

Dream Halls is basically a double edged sword (a high risk high reward play). When you cast it, be prepared to kill or die this turn. The way I usually play it is setting the board first (1 or 2 cards that deal damage on discard/draw) and having a wheel in hand to cast after the DH. I run a lot of wheels in this deck, most of the times I'm able to chain 3+ wheels and win the game, but if you want a more "safe" way to interact with DM, try adding more counters and cards like Grand Abolisher.

I used to run Temple Bell and Geier Reach Sanitarium, but I decided to cut off all cards that give my opponents "small draws" (the trade off wasn't worth most of the time).

Duskmantle Guildmage cost more to activate than Bloodchief Ascension and is easier to remove. Jace's Archivist is here because of Mind Over Matter, but i'm thinking about cutting both cards off.

I'll test Burning Inquiry and you're absolutely right about Narset, Parter of Veils, it's a MUST.

I used to run Kess, Dissident Mage but people always shut her down pretty fast. I've been thinking about Yawgmoth's Will for some time , but I don't have the money for it right now. Underworld Breach is a nice substitute, thogh.

Bone Miser is worse than Waste Not in all aspects, I don't like it. I never thought about Shadow of the Grave before, I'll test it!

I reaaaaaaaaaaaaaaaallllyy like Hive Mind, Omniscience + Show and Tell , Torment of Hailfire, Dramatic Reversal + Isochron Scepter (won some fun games with these cards), but it is quite understandable for someone to cut them off (I even recommend it in the primer, before the code start trolling me lol).

For last, Wheel and Deal will be cutted, don't know yet about Mizzix's Mastery.

Thank you a lot for the info exchange and sorry it took me some time to reply! o/

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