Fun (sort-of) interaction with Lita: you get another bonus 2 damage across this card. If you're running through core you can take this after the XP-heavy second scenario The Midnight Masks and then go into The Devourer Below with murder on the mind. If you land the second attack ("No please!") you deal a whopping 7 damage.
If you're playing solo, this card will let you take out the big bad in two actions — one playing this, second with an attack from any standard weapon that deals +1 damage.
But if we're doing that, why don't we go further? Take Vicious Blow x2 (only one actually has to be levelled) and chuck'em in as well. Blam, blam! You just biffed the big bad beastie back below. In one action! It's about sending a message.
Now, the first of these 'combos' is easier to pull off; you're just looking for Lita (which you're doing anyway — she's incredible). But if you do happen to draw your Vicious Blows in time... well, surely one-two punching an Elder One back to beyond as soon as it raises its head is as cool as it's going to get?