Activate Altar of Dementia by sacrificing Soulstinger.
When Soulstinger dies, its undying ability triggers, returning it from your graveyard to the battlefield with a +1/+1 counter on it.
When Soulstinger enters the battlefield, it triggers, putting a -1/-1 counter on it.
Resolve the Altar of Dementia ability
Repeat.
This loop turns Altar of Dementia into an endless mill machine by exploiting the counter-canceling rules of Magic. Whenever Soulstinger enters the battlefield, Mikaeus, the Unhallowed grants it undying, while Soulstinger's own ability places two -1/-1 counters on itself. State-based actions immediately cause those -1/-1 counters and the +1/+1 counter from undying to annihilate each other, leaving the creature with a clean slate to be sacrificed to Altar of Dementia all over again.