Activate Altar of Dementia by sacrificing Marionette Apprentice.
When Marionette Apprentice dies, its persist ability triggers, returning it from your graveyard to the battlefield with a -1/-1 counter on it.
When Marionette Apprentice enters, its fabricate ability triggers, putting a +1/+1 counter on it.
Resolve the Altar of Dementia ability.
Repeat.
This clever loop turns the back side of Eirdu, Carrier of Dawn // Isilu, Carrier of Twilight into an engine of endless attrition by granting its persistent life-drain ability to Marionette Apprentice. When you sacrifice Marionette Apprentice to Altar of Dementia, its persist trigger brings it right back, where its fabricate ability immediately cancels out the incoming -1/-1 counter with a fresh +1/+1 counter. Meanwhile, Marionette Apprentice's second ability ensures that every trip to the graveyard drains your opponents' life totals directly.