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  • This card's artwork seems to depict people being taxed.
  • This card's name suits its effect very well; you are making your opponent send 4 of your cards to the Graveyard and add the 5th to your hand, forcing them to make a difficult decision.
  • The Dark Beginning 1 versions of this card are misprinted with "DB1-ENO33" in the set number area instead of "DB1-EN033", replacing the 0 (zero) with a capital O.
  • This card is similar to "Arduous Decision" in that it shares part of that card's Japanese name, its artwork depicts people standing before 1 person while being in distress, and that its effect involves taking cards from your Deck.
  • "Painful Decision" may be a parody of this card; the said card has a similar effect to this one.
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