The Skoti owe their immortality to the elixir, and the manner of its creation is their most closely guarded secret.

Cosmos Elixir

At the beginning of your end step, draw a card if your life total is greater than your starting life total. Otherwise, you gain 2 life.

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Kaldheim Promos

You compare your current life total to your starting life total as Cosmos Elixir’s ability resolves to determine whether you draw a card or gain 2 life. There are no situations in which you’ll do both.