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.
Indoctrination Attendant
Any other effects of that damage, such as life gain from lifelink, still apply.
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.
Magic: The Gathering · ™ & © Wizards of the Coast · Illus. Sam Wolfe Connelly
Card data via Scryfall. Rarix is fan-made; not endorsed by the rights holders.
