Each opponent gets a poison counter. Then each creature your opponents control gets -1/-1 until end of turn for each poison counter its controller has.
"It is amusing that the fleshlings believe we are at war. In truth, they are nothing but scurrying pests to be eradicated."
—Azax-Azog, the Demon Thane
Legalities
tlrlegal
duellegal
brawlnot legal
pennynot legal
PreDHnot legal
Rulings · 1
wotc
The amount a creature's power and toughness are reduced is determined only once, at the time Phyresis Outbreak resolves. It won't change if that creature's controller later gets more poison counters or if another player takes control of it later in the same turn.
Notes
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