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Description
Anime-only card:
yugioh.wikia.com/wiki/Arduous_…

effect:

Excavate the top 2 cards of your Deck, your opponent must choose to reveal 1 of them at random. If it is a Monster, you can Special Summon it, and if you do, add the other card to your hand. If not, send both cards to the GY. You can only activate 1 "Arduous Decision" per turn.

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Death and birth are being represented in this card's artwork.
This card is similar to "Painful Choice " in that it shares part of that card's Japanese name, its artwork depicts distressed people standing before one person, and its effect involves taking cards from your Deck.

Description
Anime-only card:
yugioh.wikia.com/wiki/Arduous_…

effect:

Excavate the top 2 cards of your Deck, your opponent must choose to reveal 1 of them at random. If it is a Monster, you can Special Summon it, and if you do, add the other card to your hand. If not, send both cards to the GY. You can only activate 1 "Arduous Decision" per turn.

_____________________

Death and birth are being represented in this card's artwork.
This card is similar to "Painful Choice " in that it shares part of that card's Japanese name, its artwork depicts distressed people standing before one person, and its effect involves taking cards from your Deck.