Plague Nurse

three generic mana one green mana Creature — Phyrexian ClericPower and toughness3/4

Toxic 2

two generic mana one green mana : Each other creature you control with toxic gains toxic 1 until end of turn. Activate only once each turn. (A player dealt combat damage by a creature with toxic also gets poison counters equal to that creature's total toxic value.)

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Showing Phyrexia: All Will Be One#179

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Plague Nurse rulings

2023-02-04
A player with ten or more poison counters loses the game. This is a state-based action and doesn't use the stack. In other words, it happens immediately and players can't respond to it, just like a player losing the game due to having 0 or less life.
2023-02-04
Toxic doesn't change the amount of combat damage a creature deals. For example, if a 2/2 creature with toxic 1 deals combat damage to a player, that creature will deal 2 damage. The results of that damage are the player loses 2 life and gets a poison counter.
2023-02-04
Any other effects of that damage, such as life gain from lifelink, still apply.
2023-02-04
If a creature with toxic deals combat damage to a creature or planeswalker, or if it deals noncombat damage, toxic has no effect and no player gets poison counters.
2023-02-04
Damage dealt by a creature with toxic grants the same number of counters regardless of how much damage is dealt. Notably, if a replacement effect modifies the damage in some way (such as that of Gratuitous Violence), the number of counters given remains unchanged.
2023-02-04
Conversely, replacement effects that apply to the number of counters put on a player can modify the counters placed this way. For example, Vorinclex, Monstrous Raider's last two abilities can apply to counters placed this way.
2023-02-04
Multiple instances of toxic are cumulative. For example, if a creature has toxic 2 and gains toxic 1 due to another effect, combat damage that creature deals to a player will cause that player to get 3 poison counters.

Plague Nurse keyword rules

Toxic Rule 702.164

Toxic is a static ability. It is written “toxic N,” where N is a number.

Some rules and effects refer to a creature’s “total toxic value.” A creature’s total toxic value is the sum of all N values of toxic abilities that creature has.

Combat damage dealt to a player by a creature with toxic causes that creature’s controller to give the player a number of poison counters equal to that creature’s total toxic value, in addition to the damage’s other results. See rule .