With working MCAS, it should fly roughly like the pre-MAX version, with automatic trim adjustments to hide the significant pitch up tendency that the pre-MAX version with its much smaller engines did not have.
With a buggy MCAS with the failure conditions met, you might have sporadic significant pitch-down.
(... And with a blown load reduction device in the left engine, e.g. from a large bird strike, you'll have the cockpit filled with smoke at fatal toxicity within 39 seconds, but despite being completely avoidable by flicking one switch, and despite also affecting other aircraft with similar devices, the FAA doesn't find it worth any immediate action.)