This delightful loop relies on Vizier of Remedies and its uncanny ability to rewrite the rules of combat damage and decay, effectively dampening the -1/-1 counters that would normally shut down persist. Because of this static replacement effect, when Scuzzback Marauders hits the graveyard and triggers its persist ability, it returns to the battlefield completely pristine and ready to die again. Meanwhile, Goblin Chirurgeon acts as the dedicated executioner of the operation, using its sacrificial ability to trigger the Marauders' death over and over. The result is an endless cascade of enters-the-battlefield, leaves-the-battlefield, and death triggers that can easily overwhelm your opponents.