If a creature has multiple instances of persist, the result is largely the same as having just one instance of persist. When the creature is put into a graveyard, each persist ability will trigger. The first one to resolve will return the creature to the battlefield with a -1/-1 counter on it. The rest will do nothing.

If a nontoken creature that gains persist this way is put into a graveyard, that card will be returned to the battlefield with a -1/-1 counter on it. However, because it’s a new object with no relation to its previous existence, that permanent will not have persist.

If a permanent has multiple instances of persist, they’ll each trigger separately, but the redundant instances will have no effect. If one instance returns the card to the battlefield, the next to resolve will do nothing.

If a token with no -1/-1 counters on it has persist, the ability will trigger when the token is put into the graveyard. However, the token will cease to exist and can’t return to the battlefield.

If a creature with persist that has +1/+1 counters on it receives enough -1/-1 counters to cause it to be destroyed by lethal damage or put into its owner’s graveyard for having 0 or less toughness, persist won’t trigger and the card won’t return to the battlefield. That’s because persist checks the creature’s existence just before it leaves the battlefield, and it still has all those counters on it at that point.

The persist ability triggers when the permanent is put into a graveyard. Its last known information (that is, how the creature last existed on the battlefield) is used to determine whether it had a -1/-1 counter on it.

When a permanent with persist returns to the battlefield, it’s a new object with no memory of or connection to its previous existence.

If multiple creatures with persist are put into the graveyard at the same time (due to combat damage or a spell that destroys all creatures, for example), the active player (the player whose turn it is) puts all of their persist triggers on the stack in any order, then each other player in turn order does the same. The last trigger put on the stack is the first one that resolves. That means that in a two-player game, the nonactive player’s persist creatures will return to the battlefield first, then the active player’s persist creatures do the same. The creatures return to the battlefield one at a time.

If a creature with persist stops being a creature, persist will still work.