Activate Altar of Dementia by sacrificing Tenacious Dead.
When Tenacious Dead dies, it, Sifter of Skulls, and Pitiless Plunderer trigger.
Resolve the Pitiless Plunderer trigger, creating a Treasure token.
Resolve the Sifter of Skulls trigger, creating a creature token.
In response to the remaining trigger, activate Altar of Dementia by sacrificing the creature token.
When the creature token dies, Pitiless Plunderer triggers, creating a Treasure token.
Resolve the Altar of Dementia ability from step 5.
Activate two Treasure tokens by tapping and sacrificing them, adding .
Resolve the Tenacious Dead trigger, paying 1 to return it to the battlefield from your graveyard.
Resolve the Altar of Dementia ability from step 1.
Repeat.
This clever loop transforms a humble Tenacious Dead into an unstoppable milling engine by leveraging a few key passive enablers. When you sacrifice Tenacious Dead to the Altar of Dementia, Pitiless Plunderer and Sifter of Skulls watch from the battlefield to generate a Treasure token and an Eldrazi Scion token every time a creature dies. You can immediately sacrifice that newly minted Eldrazi Scion to Altar of Dementia to fuel more milling, while Pitiless Plunderer triggers a second time to yield another Treasure. By cashing in these Treasures for the black mana needed to pay Tenacious Dead's resurrection cost, the entire cycle becomes self-sustaining and endlessly repeatable.