PokéBase - Pokémon Q&A
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like in the game does it do the same for the TCG?

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Likely.

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Nope, unless you retreat.

>The Confusion Special Condition is one of the most commonly seen conditions alongside Poisoned. If a Pokémon is Confused, its card must be turned upside-down. If it tries to attack, the player must flip a coin. If the coin is heads, the attack proceeds as planned. However, if the coin lands on tails, three damage counters are placed on the Pokémon and the turn ends. Unless replaced by Asleep or Paralyzed, the Pokémon remains Confused unless retreat or other action is taken (such as the use of a Trainer card).

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