The previous reviews do a great job of explaining the potential benefits of this card when applied to different tests, and in the hands of different investigators. But, for my money, the absolute most important and powerful aspect of Premonition is only mentioned in the comments!

TheNameWasTaken put it perfectly a year ago: Premonition is "best played in the window at the start of the investigation phase, before anyone has yet taken their turn. Seeing what token will come up for the first test this round lets you decide [which player will use the token to best effect.]"

For those curious about the rules, you can see this in the Timing) Chart:

2.1 Investigation Phase Begins

PLAYER WINDOW

2.2 Next Investigator's Turn Begins

I cannot overstate how valuable the card is when used in this manner (in multiplayer, clearly). It transforms it from an niche or circumstantial value card – spending one card to "save" using other ones – into a strategic tool. We've all had those rounds, when the encounter deck vomits all over you, or an Act turn ends up spawning a monstrosity engaged with your most vulnerable and isolated investigator. In those moments, there is no greater feeling then when your Mystic/Daisy/Dunwich whomever declares "Wait! I'm having a Premonition."

In my last playthrough of Dunwich, I blew this guy to smithereens with my trusty Shotgun only to suddenly have a moment in the shower where I went, "wait a minute... was I suppose to buff the Avian Thrall?"

The question remains: what is the "it" referring to on the card? At first glance, I thought it meant the Avian Thrall, meaning it gets -3 fight whenever you hit him with pretty much anything but melee. However, if the "it" refers to the traits, then your attack would get -3 fight, making him effectively 8. So which is it?

I think it makes more sense to debuff the enemy given the traits (kinda hard to Machete a flying pterodactyl if you know what I'm saying. But grim rule exists so I am left to wonder.

I figure if they wanted the debuff to apply to the players, then they probably would have worded it as so: "Attacks made with assets that have the Ranged, Firearm, or Spell traits get -3 fight against Avian Thrall."

I wanted to add a more recent review that adds rules citations for three important pieces of information mentioned by earlier reviews/comments. Let's read the fine print on these Hospital Debts!

First: If you draw Hospital Debts naturally as part of the Upkeep phase at the end of the round, you will not be able to sneak two resources onto it before the round ends. The rules for timing make clear that there is no ~Player Window after you draw cards.

Second: In multiplayer, other investigators at the same location can activate and pay for Hospital Debts. In the rules, Activate) Actions can be taken on "all encounter cards in the threat area of any investigator at that location," and according to the rules for Weaknesses,) any weakness with an encounter cardtype (like "Treachery") "are considered to be encounter cards [...] once they have entered play."

Third: In multiplayer, the "Limit twice per round" applies to each investigator individually, meaning that three different investigators could pay down the debts in a single turn. The relevant) rule on limits specifies "Unless stated otherwise, limits are player specific." And this is likely relevant to a number of other cards.

Again, these three points have been mentioned elsewhere, but I wanted to collect them all in one place with relevant citations. I so often find that discovering the rules behind one card makes me better understand other cards, and the game as a whole!

As mitigations for failure go, Self-Sacrifice doesn't quite stand up to Survivor staples such as Take Heart. Take Heart grants a failing investiagtor two resources as well as two cards and can be committed to your own skill tests, so it has great synergy with the Survivor card pool in general.

Self-Sacrifice's specialty comes from allowing you to pass around the consequences for skill test failure. Many punishments for failure include taking damage and/or horror, and I know I've lost a handful of scenarios due to one player drawing and subsequently failing every Rotting Remains in the deck, while another sat pretty with a pristine sanity pool! Self-Sacrifice may allow you to avoid that case in a way that Take Heart won't while providing at least a portion of the older card's tempo acceleration. You can even choose to take the extra draw yourself, which might be good for catching up if you just tanked a chunk of horror due to an auto-fail.

Notably, Self-Sacrifice might also let you tank a Retaliate or Alert attack trigged by a failed test, which may well be relevant if you're packing some of the Guardian cards that reward you for taking attacks, particularly those spoiled for the Nathaniel Cho starter deck (Counterpunch, Lesson Learned, etc.). Weirdly though, this demands that you play someone with a Guardian card pool while your teammate attempts to fight or evade a monster, rather than you taking that action, which doesn't come up often in a typical two player Guardian monster hunter plus Seeker clue gatherer pair.

Clearly this isn't a card for every investigator. Roland Banks tends to be the very investigator suffering from one too many Rotting Remains with his paltry 5 sanity, and the same could be said for "Skids" O'Toole and Tony Morgan with their pitiful willpower. Investigators with larger sanity pools and higher willpower are more likely to appreciate Self-Sacrifice's ability to divert punishment for failure to themselves. I think one key investigator who will appreciate this is Carolyn Fern who is happy to tank horror all day, as its easier to heal on herself than on teammates, and she has an adequate health pool too. Diana Stanley can really ratchet up protecting her teammates with this as well, and she might be able to cancel a consequence for failure with Deny Existence when it's applied to her rather than a teammate.

Interestingly, there are a handful of investigators who have both Take Heart and Self-Sacrifice as part of their card pool. At time of writing they are William Yorick, Lola Hayes, Calvin Wright, and Tommy Muldoon. As per my brief analysis earlier, I think Take Heart is generally the stronger of the two cards because granting extra resources is more straightforward to take advantage of than moving consequences for failure, but some of these investigators might consider Self-Sacrifice in addition to Take Heart. Yorick, Calvin, and Tommy can all benefit from tanking extra damage or horror on their cards: Yorick and Tommy can both replay soak assets and Calvin can boost his stats. Lola is of course a toss-up because of her bizarre deckbuilding restrictions, but I think even if you are playing Guardian as one of your roles, you're too fragile to really consider Self-Sacrifice.

In short, any investigator who is reasonably durable and doesn't mind tanking some treachy failures, damage, and horror ought to consider Self-Sacrifice to protect more vulnerable teammates. The tempo reward of drawing cards actionlessly is a nice bonus for a faction without much reliable and repeatable card draw. It's no staple, but it is a solid card.

This card is certainly better than suggested by the other review, and far from "the worst card in the game" as suggested in the review for the upgraded version. I challenge you to actually use this in an appropriate deck (such as Tony Morgan or Jenny Barnes) and not see his value. I did and I would choose him again. The point is not only extra actions, but also optimizing when you play each item, so that you can maximize the skill value, clues, and damage from your weapons and tools to match what you are facing. He also makes Colt Vest Pocket and Lupara decent weapons, especially with Tony Morgan. Yes, he is expensive, so don't use him with "Skids" O'Toole or other investigators that tend to be short on resources. But in the right deck, the effect is worth the cost. Also, the theme fits perfectly: he is the guy that can get you whatever you need, right when you need it, with no limits, as long as you can pay the price.