Notes & Combos
Tearlaments build designed around Rank 4s. Notably Tellars, which are all generic. Running just 4 tellar cards in the main allows for big extensions off of Caduceus, who can recover any of the tellar cards if they get milled. Could get M1 with this list given more time, I honestly think it can hold its own in any matchup.
While the turnskip is possible, this particular build isn't very consistent at it. Consider adding level 4s that summon themselves on mill, a second Snow, and/or another tellar name to make that easier. Even without the skip, an endboard of Rulkallos, a 3mat Ptolemaeus, and any other xyz you can get in there with Altairan in grave (or attached to Ptolemaeus) will power through a lot of opposing hands.
2x Grief allows for playing through Ash/Imperm on the normal, while also acting as a Tear card for Reino/Tearkash to pitch on their special summons. Using Grief with Tearkash on board to summon Reino will activate Tearkash's mill while providing another level 4 to work with for xyz purposes.
Dugares cleans up awkward hands and can be used for cheeky lethal, Redoer is a Tear staple and is dark attribute for Altairan's effect, and Bagooska is Bagooska. Cutting Dugares/Bagooska for Dragostapelia/Unicorn might be worthwhile.
Replays
Vs Vanquish Soul: