Template:Medivh, the Guardian notes

• Atiesh's triggered effect summons a minion randomly selected from all collectible minions with a base mana cost equal to the mana cost of the triggering spell, regardless of class.
• The final mana cost of the triggering spell is used to determine the selection, including any cost-modification effects (such as due to Emperor Thaurissan, Loatheb or Millhouse Manastorm).

Example: If you have 10 mana and cast Forbidden Healing with Atiesh equipped, a 0-Cost minion will be summoned: despite the spell's text consumed 10 mana to boost the healing effect, the spell's mana cost was actually 0.

• In particular, if Cho'Gall's effect is used to play a spell spending Health instead of mana, Atiesh will still summon a minion matching the spell's cost.

Example: Suppose you have Summoning Stone in play, Atiesh equipped, and a Shadowflame in hand with mana cost reduced to 1 by Emperor Thaurissan. If you play Cho'gall and use its effect to play the Shadowflame for 1 Health, you will spend no mana but both Summoning Stone and Atiesh will summon a 1-Cost minion.

• If there is no minion matching the final mana cost of the triggering spell (for example, a 15-mana DOOM! due to Loatheb's effect played through Cho'gall), no minions will be summoned but Atiesh will still lose Durability.

• If the triggering spell is countered by Counterspell, no minion will be summoned and Atiesh will not lose Durability.
• If minions can't be summoned due to the board being full, Atiesh will not lose Durability.

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