I don't think it can be overstated how powerful this card will be for either both front options for Agnes (with regular back). She will be able to test most of her Willpower tests at an effective base of 7.
Regular Agnes: If you can take horror regularly enough (Ward of Protection, Forbidden Knowledge etc), she can get multiple uses a turn.
Parallel Agnes: Due to being able to choose when to deal damage to herself, I think Parallel Agnes is even stronger. Assuming she has the soak available (which she should, it's an Agnes deck), she should be able to improve every test she has to make.
Another combo I thought of that Benwobbles didn't also mention, you can also use Smoking Pipe/Painkillers as batteries for this.