Ob alter god of suffering

+1: you can discard 1 card and draw 1 card if you do, you gain 1 madness counter and deal 2 damage to target creature or planeswalker.
-3: you can discard 1 card and draw 1 card if you do, you gain 1 madness counter put 6 -1/-1 counters on target creature.
-5: draw 5 cards each player loses 3 life. each opponent sacrifices 2 permanents and discards 2 cards.