reaper of pale veil

flying, vigilance
every time you gain one or more madness
counters if you have 3 or more madness counters
create a 1/1 black and white human horror token,
and if you have 5or more madness counters create
a food token.
when reaper of pale veil attacks, you may sacrifice
a permanent to put a -1/-1 counter on target
creature or gain 1 life.