This piece is a blending of two very powerful angelic beings. The first of these beings is Azrael. He is the Angel of Death and if you want to find out about him all you have to do is read the Book of Revelations. He takes no prisoners when he is sent to do a job. The second is the Angel of Destiny, Uriel. He is the Guardian of the Grand Design. He monitors the works of the Divine Architect and has his express permission to change it as he sees fit.
This piece allows you to summon both entities. First, you will summon Azrael to cause death to all the things about your life you do not like. Poverty, spiritual illness, possession, the inability to find love, or whatever else you hate about your life. Then, you will use this piece to call forth Uriel who will then design the outcomes that you would prefer. Instead of poverty, choose wealth. Instead of plain humanity, choose something with magic. He can create sound minds and loving relationships. Whatever you want, these angels will collaborate on and get it done. No immortality. No curing of diseases. No death. Basically, they won't mess with the flow of life.