I'm working on a game. The idea is to take a group of immortalish PCs (supernatural level) through various episodes historical periods heralding the rise of the AoR and the Mad Gods. The one I'm working on at the moment is provisionally titled Armageddon: 1865. The challenge is for the PCs to track down four Inheritors who fancy themselves the Four Horsemen of the Apocalypse: yes, I'm going with the old chestnut of the four horsemen as Western outlaws. 
Now, the Inheritors of Death and War are no problem with the rules as written. I'm seeking advice on Famine and Pestilence (an incredibly fat lout name of Buzz Gorge and a gentleman physician name of Doc Bane). For Famine, I went with Destruction (Bolt of Destruction) as a sort of AoE effect and Torment (Agony). For Pestilence, I went with the Greater Healing invocation inverted, so instead of Curse Disease it's Cause Disease, Restore Limb becomes Wither Limb, Resuscitate the Dying becomes Hasten Death.
Anyone have any other ideas of how to handle Pestilence and Famine?
