Karthspire Scourge can be purchased as part of the Alduin's Apocalypse deck or purchased alone for 100 soul gems.
Due to Karthspire Scourge's ability, it should be only summoned in lanes with creatures in it. To maximize the effect of Karthspire Scourge's ability, summon it in the lane with the most creatures in it.
- Karthspire is a massive mountain located in the middle of the Karth River, near the Druadach Mountains and the city of Markarth.
- A leveled Dragon is found at Karthspire in The Elder Scrolls V: Skyrim, meaning this card may be a reference to that Dragon.