Carneficina Impietosa

Exiling a card using its plot ability is a special action. Once you announce you’re taking that action, no other player can respond by trying to remove that card from your hand.

If a plotted card has {X} in its mana cost, you must choose 0 as the value of X when casting it without paying its mana cost.

If any abilities trigger as you sacrifice permanents, those abilities won’t be put onto the stack until after you’ve drawn the appropriate number of cards.

If you’re casting a plotted card from exile without paying its mana cost, you can’t choose to cast it for any other alternative costs. You can, however, pay additional costs, such as kicker costs. If the plotted card has any mandatory additional costs, those must still be paid to cast the spell.

Plot abilities are written “Plot [cost],” which means “Any time you have priority during your main phase while the stack is empty, you may pay [cost] and exile this card from your hand. It becomes plotted.”

You can choose to sacrifice zero permanents. (That does sound an awful lot like pity, though.)

You can’t cast a plotted card on the same turn it became plotted. On any future turn, you may cast that card from exile without paying its mana cost during your main phase while the stack is empty.

You sacrifice the permanents as part of the resolution of Pitiless Carnage. It isn’t an additional cost. If Pitiless Carnage is countered or never resolves, you won’t sacrifice anything.