When Yawgmoth enters the battlefield, Scurry Oak's evolve ability triggers.
Holding priority, activate Yawgmoth by paying 1 life and sacrificing a creature.
When the creature dies, Overgrowth Elemental's second ability triggers, causing you to gain 1 life.
Resolve the Yawgmoth ability, putting a -1/-1 counter on Scurry Oak and causing you to draw a card.
Resolve the Scurry Oak trigger, putting a +1/+1 counter on it, triggering Scurry Oak's second ability.
Holding priority, activate Yawgmoth by paying 1 life and sacrificing a creature.
When the creature dies, Overgrowth Elemental's second ability triggers, causing you to gain 1 life.
Resolve the Yawgmoth ability, putting a -1/-1 counter on Scurry Oak and causing you to draw a card.
Resolve the Scurry Oak trigger, creating a 1/1 Squirrel creature token.
When the Squirrel enters the battlefield, Scurry Oak's evolve ability triggers.
Repeat from step 6.
This engine turns a handful of counters and sacrifices into a self-sustaining loop, fueled by Yawgmoth, Thran Physician's ability to trade life and fodder for cards. Scurry Oak acts as the primary engine room, neutralizing the -1/-1 counters Yawgmoth hands out by using its own evolve triggers and token creation to constantly replenish your sacrifice supply. Meanwhile, Overgrowth Elemental sits quietly on the board providing a vital life buffer, offsetting the life payments required by Yawgmoth so you can safely draw through your entire deck.