Acererak the Archlich

When Acererak the Archlich enters, if you haven't completed Tomb of Annihilation, return Acererak the Archlich to its owner's hand and venture into the dungeon.
Whenever Acererak the Archlich attacks, for each opponent, you create a 2/2 black Zombie creature token unless that player sacrifices a creature of their choice.

Altar's Reap

As an additional cost to cast this spell, sacrifice a creature.
Draw two cards.

Anowon, the Ruin Sage

At the beginning of your upkeep, each player sacrifices a non-Vampire creature of their choice.

Endrek Sahr, Master Breeder

Whenever you cast a creature spell, create X 1/1 black Thrull creature tokens, where X is that spell's mana value.
When you control seven or more Thrulls, sacrifice Endrek Sahr, Master Breeder.

Wretched Bonemass

Wretched Bonemass's power and toughness are each equal to the total power of the exiled cards used to craft it.
Wretched Bonemass has flying as long as an exiled card used to craft it has flying. The same is true for first strike, double strike, deathtouch, haste, hexproof, indestructible, lifelink, menace, protection, reach, trample, and vigilance.

Altar of the Wretched

When Altar of the Wretched enters, you may sacrifice a nontoken creature. If you do, draw X cards, then mill X cards, where X is that creature's power.
Craft with one or more creatures {2}{B}{B}
{2}{B}: Return Altar of the Wretched from your graveyard to your hand.

Altar of the Wretched // Wretched Bonemass

Abyssal Gatekeeper

When Abyssal Gatekeeper dies, each player sacrifices a creature of their choice.