Paranoia

At the beginning of your upkeep, put a hunger counter on this enchantment. Then destroy this enchantment if it has five or more hunger counters on it. If you would begin your draw step, you may skip that step instead. If you do, you gain 2 life. When you draw a card, destroy this enchantment.

At the beginning of each player's upkeep, that player loses 1 life and discards a card. Hellbent — Skip your upkeep step if you have no cards in hand. Madness (If you discard this card, discard it into exile. When you do, cast it for its madness cost or put it into your graveyard.)