As long as Grist, the Hunger Tide isn t on the battlefield, it s a 1 1 Insect creature in addition to its other types.
+1: Create a 1 1 black and green Insect creature token, then mill a card. If an Insect cards was milled thisway, put a loyalty counter on Grist and repeat this process.
−2: You may sacrifice a creature. When you do, destroy target creature or planeswalker.
−5: Each opponent loses life equal to the number of creature cards in your graveyard.