Activate Altar of Dementia by sacrificing a persist creature without a -1/-1 counter on it.
When the persist creature dies, its persist ability and Szarel trigger.
Resolve the Szarel trigger, putting a number of +1/+1 counters on the other persist creature.
Resolve the perist creature's trigger, returning it from your graveyard to the battlefield with a -1/-1 counter on it.
Resolve the Altar of Dementia ability.
Repeat.

Infinite LTB

Infinite ETB

Infinite sacrifice triggers

Infinite death triggers

Infinite mill

Infinite self-mill

Persist Creature

Szarel, Genesis Shepherd

Altar of Dementia

Activate Altar of Dementia by sacrificing Puppeteer Clique.
When Puppeteer Clique dies, its persist ability and Szarel trigger.
Resolve the persist trigger, returning Puppeteer Clique from your graveyard to the battlefield with a -1/-1 counter on it.
When Puppeteer Clique enters, it triggers, putting a creature card from an opponent's graveyard onto the battlefield under your control.
Resolve the Szarel trigger, putting a number of +1/+1 counters on another creature you control.
Resolve the Altar of Dementia ability from step 1.
Activate Altar of Dementia by sacrificing the creature returned in step 4.
When the creature dies, Szarel triggers, putting a number of +1/+1 counters on Puppeteer Clique.
Resolve the Altar of Dementia ability.
Repeat.

Infinite +1/+1 counters on creatures you control

Puppeteer Clique

Activate Slimefoot and Squee by paying {1}{B}{R}{G} and sacrificing a Saproling, returning it and up to one other creature card from your graveyard to the battlefield.
When Slimefoot and Squee enters the battlefield, it triggers, creating a 1/1 Saproling creature token.
Activate Altar of Dementia by sacrificing Slimefoot and Squee, and the other creature returned in step 1, if applicable.
When Slimefoot and Squee and up to one other creature are sacrificed, Szarel triggers that many times, putting a number of +1/+1 counters equal to Szarel's power on Crystalline Crawler for each trigger.
Resolve the Altar of Dementia abilities.
Activate Crystalline Crawler four times by removing four +1/+1 counters from it, adding {1}{B}{R}{G}.
Repeat.

Infinite colored mana

Infinite recursion of creature cards in your graveyard

Crystalline Crawler

Slimefoot and Squee

Cast Squee from your graveyard or from exile by paying its mana cost.
Activate Altar of Dementia by sacrificing Squee.
When Squee is sacrificed, Szarel triggers, putting a number of +1/+1 counters equal to Szarel's power on Crystalline Crawler.
Resolve the Altar of Dementia ability.
Activate Crystalline Crawler three times by removing three +1/+1 counters from it, adding {1}{R}{R}.
Repeat.

Infinite storm count

Squee, the Immortal

Activate Cauldron of Souls by tapping it, giving two nontoken artifact creatures persist until end of turn.
Activate Clock of Omens by tapping the nontoken artifact creatures, untapping Cauldron of Souls.
Activate Altar of Dementia by sacrificing one of the nontoken artifact creatures that doesn't have a -1/-1 counter on it.
When the creature dies, its persist ability and Szarel triggers.
Resolve the persist trigger, returning the creature from your graveyard to the battlefield.
Resolve the Szarel trigger, putting a number of +1/+1 counters on the other artifact creature.
Resolve the Altar of Dementia ability.
Repeat from step 3 once, instead sacrificing the creature who had counters placed on it in step 6.
Repeat from step 1.

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