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While Invasive Surgery looks more like a sideboard card, I could actually imagine a couple of ways the format could break where it actually has some maindeck presence

Most Used Format Master Duel Decks Public Decks 6,476 Tournament Decks 1,085 Top: TCG Total Copies 12,603 Avg Copies / Deck 1.95 Main Deck 98.1% 12,362 copies in 6,343 decks Extra Deck 0% 0 copies in 0 decks Side Deck 1.9% 241 copies in 163 decks Similar Cards Cards with related names, effects, or gameplay patterns

Twinflame Tyrant Twinflame Tyrant combines a huge flying body with the ability to double the damage dealt

With fewer than 25 PSA 10 copies on record, collectors closely watch the pop report for this card

Incapsula incident ID: 1848000720969419783-469764955813974571