The ability says you may create tokens, making it entirely optional
For example, if you start the turn at 10 life, then gain 5 life, and then lose 7 life, you'll distribute five +1/+1 counters, even though your life total is now lower than it was at the beginning of the turn
[Colorless] Tackle 10
-- Severn, MD Aug 25, 2025 I've been Brian's customer since about 2005
Its such a pain to play against, too, as it does the things you dont want it to at the worst possible times
Fill your deck up with cards like Mayhem Devil and Butcher of Malakir, mix in some token generation like Dreadhorde Invasion and a few sacrifice outlets, and youre good to go