Even though the Fallout franchise is more of an ensemble RPG focused on a few characters as opposed to a vastly populated world of familiar NPCs and familiar touchstones, Magic: The Gathering manages to get plenty of juice from the proverbial squeeze here
A High Market in the manabase, or creatures that have sacrifice abilities, or just an Oketras Monument to provide cost reduction all things that can enable Skullclamp
Shes also a shift target for Ursula Erics Bride who allows you to look at your opponents hand and discard any threatening Actions or Items
Because its an Instant you can exile a bunch of stuff and then start playing it on your turn
The amount of life you gain is determined only as Aven Gagglemaster's triggered ability resolves
Some modern cards are worth less than $1, while others sell for hundreds, or even thousands, of dollars depending on rarity, condition, demand, and whether theyve been professionally graded