What would you value an altered pokemon card? 50% of NM? Less? 3. Original Handpainted Altered Extended Pokmon Painting Milotic Art TCG ACEO Card Whatnot: Shop, Sell, Connect Is this ALTERNING Yes or No?, In most categories of collecting, altered, trimmed or otherwise restored items tend to have reduced value versus an unrestored item of the same approximate grade. In The Full Art Pokmon Cards Of Pokmon TCG: Cosmic Eclipse Part 4