Because the match ends the exact millisecond a tower hits zero hitpoints, certain cards become exponentially more valuable, while others become complete liabilities.

A massive, slow-moving Golem that takes thirty seconds to cross the map is often useless in a panicked Sudden Death scenario.
The Unblockable Finishers: Heavy Spells
You completely abandon all ground attacks and simply launch massive damage spells directly at their tower while defending flawlessly.

If you know your opponent's tower is at 550 health, and you have a Rocket in your hand, you have already mathematically won the game.
Never play your heavy spell in Sudden Death if it leaves you with zero elixir to defend.Memorize the exact damage your heavy spell does to crown towers.It maintains your elixir efficiency while dealing the necessary damage. Fast Damage in Overtime
If you do not have a heavy spell, or the tower health is too high to spell cycle, you must rely on units that can guarantee near-instant damage.

Similarly, fast 'Bridge Spam' units like the Bandit or the Royal Ghost are terrifying in Overtime.
The OT ScenarioThe ExecutionOpponent tower is at 400 HPImmediate Spell Cycle; ignore attacking with troops, defend flawlessly, and launch the Rocket/Fireball for the guaranteed winBoth towers are at full HP in OTPlay incredibly safe; rely on Miners or Goblin Barrels for safe chip damage; never play an 8-elixir tank in the back Staying Cold Under Pressure
Know your spell damage, trust your defensive rotation, and strike with absolute certainty.

Leave the panic to your opponent.

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