mtg draw a card lose life Oh sure, I'll and you 3 for 5 Anyone else obstinately refuse to

While the card does flip into something quite intimidating, especially in a dragon-themed EDH deck, many players are more interested in the cards front side

Lethal Vapors (with indestructible creatures like Darksteel Colossus or swarms plus Eldrazi Monument)

We have tons of cards that generate food for us and then we utilize those food tokens to fuel our cards directly (Feasting Hobbit) or indirectly fuel our lifegain payoff cards (Prize Pig) and token payoff cards (Rosie Cotton of South Lane)

Poison counter Commanders like Fynn the Fangbearer want proliferate cards to help them get their opponents up to 10 poison counters to close out the game