Costing six and not being able to immediately gain any life means you will have to do quite a lot of work just to get to stage you can make the Wurmcoil with any semblance of safety, if at all
You could also play tuck effects like Chaos Warp or Unexpectedly Absent
You need a creature that can attack and deal damage without being blocked, and enough lands to produce at least 5 mana, including 2 red
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It counts the deck modulo the number of piles, and helps makes sure the player hasn't lost a card