Activate Altar of Dementia by sacrificing River Kelpie
When River Kelpie dies, its persist ability triggers, returning it from your graveyard to the battlefield with a -1/-1 counter on it.
When River Kelpie enters, it and Stalwart Successor trigger.
Resolve the River Kelpie trigger, causing you to draw a card
Resolve the Stalwart Successor trigger, putting a +1/+1 counter on River Kelpie
Resolve the Altar of Dementia ability.
Repeat.
This clever loop turns River Kelpie into an endless engine of sacrifice and resurrection, fueled by the persistent rebirth of its persist ability. Each time it returns from the graveyard, its own trigger pairs with Stalwart Successor to simultaneously draw you a card and cancel out its -1/+1 counter dilemma with a timely +1/+1 counter. Meanwhile, Altar of Dementia happily turns this endless cycle into infinite mill power, stripping your opponents' libraries down to nothing.