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Evolution Sage Yawgmoth, Thran Physician is certainly a more powerful card than Evolution Sage, but Sage is the better proliferator, specifically

Sacrifice it at the beginning of the next end step if it has mana value 3 or less

Slowly, timidly, they rose into the air. Scroll of Beginnings Illustrated by Rebecca Guay Standard Not Legal Alchemy Not Legal Pioneer Not Legal Historic Legal Modern Legal Brawl Legal Legacy Legal Comp

Because they are played alongside cards like Spelltithe Enforcer, Dovin, Hand of Control, Aura of Silence, and Archon of Emeria that are going to make each would be spell cost even more than it should