When Fiend Hunter enters, its first ability triggers, exiling Metamorphosis Fanatic.
Activate Altar of Dementia by sacrificing Fiend Hunter.
When Fiend Hunter dies, its second ability triggers, returning Metamorphosis Fanatic from exile to the battlefield.
When Metamorphosis Fanatic enters, it triggers, returning Fiend Hunter from your graveyard to the battlefield.
When Fiend Hunter enters, its first ability triggers, exiling Metamorphosis Fanatic.
Resolve the Altar of Dementia ability.
Repeat from step 3.
This elegant loop spins into motion when Fiend Hunter enters the battlefield to temporarily banish Metamorphosis Fanatic, setting the stage for a continuous cycle of life and death. By sacrificing Fiend Hunter to Altar of Dementia, you trigger its departure to instantly bring Metamorphosis Fanatic back from exile. In turn, the newly arrived Metamorphosis Fanatic immediately triggers to fish Fiend Hunter right back out of your graveyard, restarting the sequence and letting you repeatedly mill any player's library to dust.