Innate is a keyword which causes the card to always start in your opening hand. Technically, it works as if cards with Innate are on the top of your draw pile before your first draw, thus meaning it does take a draw space from your starting hand. If you have more Innate cards than your starting hand could draw, it will be drawn the next turn until there is no Innate cards left in your draw pile.
Although working similarly, Innate is a separate mechanic from the Bottled Relics, which add a specified card to your starting hand each combat. Cards with the "Innate" keyword will keep that effect if duplicated by an event. The Bottled Relics, however, will not affect any duplicates of the chosen card.
A discarded Innate card will be reshuffled into your draw pile like any other cards.
- Upgraded Brutality