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Since the trigger ability puts the lands directly into play, you can trigger it with Bristly Bill, Spine Sower and similar effects, or creature tokens with Springheart Nantuko to make more creatures to trigger more times

Courser of Kruphix adds another line of defense, giving you some lifegain here and there to ensure you live longer, and you can play lands from the top of your deck which is a strong source of card advantage and filtering

Madness Card Gallery Torment Arrogant Wurm Basking Rootwalla Circular Logic Fiery Temper Frantic Purification Obsessive Search Psychotic Haze Strength of Isolation Strength of Lunacy Violent Eruption Time Spiral Planar Chaos Future Sight Shadows over Innistrad Alms of the Vein Asylum Visitor Avacyn's Judgment Biting Rain Bloodmad Vampire Broken Concentration Falkenrath Gorger Fiery Temper From Under the Floorboards Gisa's Bidding Incorrigible Youths Just the Wind Malevolent Whispers Murderous Compulsion Nagging Thoughts Senseless Rage Stensia Masquerade Twins of Maurer Estate Welcome to the Fold Eldritch Moon Abandon Reason Alchemist's Greeting Bloodhall Priest Chilling Grasp Distemper of the Blood Insatiable Gorgers Stromkirk Occultist Voldaren Pariah Weirded Vampire Commander 2019 Modern Horizons 2 Commander Legends: Battle for Baldur's Gate Crimson Vow: Commander March of the Machine: The Aftermath Modern Horizons 3 Best Madness Cards So I gave you a list of all the cards with the madness ability

More importantly, the mechanics need to feel like they belong in the world of Innistrad

As your deck can do enough self pain to potentially kill itself you significantly reduce the extent to which a pure life gain card is dead