And, as other redditors noted, it's all about Pauper behind this spike
If that same creature has trample and only ends up dealing 1 damage to a player, that player still will get 4 poison counters
It can also be tutored out with Green Sun's Zenith
Interation/Disruption [card]Ruinous Path[/card] [card]Utter End[/card] [card]Ultimate Price[/card] [card]Silkwrap[/card] [card]Mardu Charm[/card] [card]Abzan Charm[/card] [card]Murderous Cut[/card] [card]Kolaghans Command[/card] [card]Duress[/card] [card]Crackling Doom[/card] [card]Transgress the Mind[/card] [card]Deadbridge Shaman[/card] At this point all thats left is building a shell and testing
If you do, exile them, then meld them into Ragnarok, Divine Deliverance
It looks like a measly 4/3, but even one counter on it makes it a 6/5 in combat the turn you flip it, and it doesnt even have to be the one attacking