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This creature enters with five +1/+1 counters on it.
At the beginning of your upkeep, you may remove a +1/+1 counter from this creature. If you don't, sacrifice this creature and it deals damage equal to the number of +1/+1 counters on it to each creature without flying and each player.
Read from the rules text. A card that enables a keyword makes or is the thing; a card that rewards it gets better when you have it. Two cards interact when one enables what the other rewards.