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The fact that Avacyn herself also has indestructible means your opponent better have an exile spell or exiling board wipe sitting around

it cares about results

Milling can be annoying, although nowhere near as annoying as land destruction, latter easily the most un-fun way to play Magic

I should stress that development does vary some on how much it cares about mulligans depending on what is being playtested

The issue is that it's limited to your end step, forcing you to act at sorcery speed for the healing

That makes it most useful in decks that can ramp a ton or reduce the cost of spells, but really it's a great tutor for any green deck