Put this card into play; put four counters on this card from the blood bank. Your hand size is +X where X is the number of counters on this card. Each time you play or discard a card (except when discarding down to your hand size), burn a counterfrom the card (do not draw a replacement card). Burn this card when the last counter is removed.
Clarifications and Rulings
Cards played by the controller of Visit from the Capuchin are not replaced at all - this overrides any "Do Not Replace Until " clause on the cards played. [LSJ 20010913]