The general idea is that Rograkh becomes an excellent cheap early body for equipment that you can run your opponents over with
A 4/5 trampling body is much much better than a 5/3, it might well still be better than a 5/3 and a 3/3 token too
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Whenever you sacrifice a Blood token, each opponent loses 1 life and you gain 1 life
If you have only madness cards, the mana cost of your spells will be too high and you might have a very slow and not powerful game, If you only have discard enablers, you might create card disadvantage and finally having cards with no effect at all