An opponent sacrifices all permanents they controlInfinite death triggersInfinite creature ETBInfinite creature LTBInfinite power for any creatureInfinite creature sacrifice triggersTarget opponent sacrifices all permanents they controlMass Land Denial
How it works
Activate the creature with Rakdos Riteknife attached by tapping it and sacrificing Lesser Masticore.
When Lesser Masticore dies, its persist ability and Dross Scorpion trigger.
Resolve the Dross Scorpion trigger, untapping the creature with Rakdos Riteknife attached.
Resolve the Lesser Masticore trigger, returning it from your graveyard to the battlefield with no -1/-1 counters on it due to Vizier of Remedies.
Resolve the creature's ability from step 1, putting a blood counter on Rakdos Riteknife.
Repeat.
Once you have infinite blood counters on Rakdos Riteknife, you may activate its ability by paying and sacrificing it, causing target opponent to sacrifice all permanents they control.
This relentless loop relies on sacrificing Lesser Masticore to fuel Rakdos Riteknife's activation, sending the metallic beast to the graveyard where its persist ability normally would saddle it with a -1/-1 counter. However, Vizier of Remedies steps in to intercept that penalty, ensuring the Masticore returns completely clean and ready to die again. Meanwhile, Dross Scorpion watches from the sidelines as an artifact creature bites the dust, untapping the creature wielding Rakdos Riteknife so you can repeat the gruesome sacrifice indefinitely. This engine quickly accumulates an absurd number of blood counters on Rakdos Riteknife, culminating in a devastating sacrifice of your opponent's entire board.