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For example, activating the ability on Startled Awake will cause Persistent Nightmare to enter on the back face, but you can't play Persistent Nightmare from your hand

Shes flying under the radar a bit right now, but I expect that to change very quickly once players get a chance to test her out.

Then if the exiled card doesn't have suspend, it gains suspend

Any existing effects or counters that raise, lower, or switch a creature's power and/or toughness continue to apply to the creature's new base power or toughness

Fortunately, it seems there could be plenty more printing capacity soon

Oblivious Bookwurm gives you yet another way to draw cards as a result of having face down permanents