
I like this card! I'm using it in an old-school Dark Horse "Ashcan" Pete deck with Madame Labranche--all cards I'd run anyway. I'm happy to have it sit in my hand until a turn when I don't otherwise need the good lady's services, and that makes it essentially a "free," fast, slotless,1/1 heal on Duke. I'm also running Forced Learning and more often than not I choose Trusted when it appears in the upkeep phase. I also like that increasing an ally's max health and sanity can help get full value out of other healing cards (e.g., Bizarre Diagnosis). And buffing Duke is as good as healing Ashcan. Niche is not the same as bad.