“ Dust Elemental
https://gatherer.wizards.com/Pages/Card/Details.aspx?multiverseid=1594
At the corner of air and earth elemental planes resides the dust Elemental, a growing threat to Parisia. With it's powerful choking attack, this creature is a threat to the city. More and more of them are appearing in town, spawned from the many dust devils, a frequent foe of the party, they come in size from 3 HD to 20 HD. Why are there so many? Why in the city?”
“ Pick up a pathology/microbiology book, and add the diseases/syndroms to your game. Your players will freak out.
Coughed at? Diphteria. or tuberculosis?
Drunk from a muddy stream? Or just walked through? Well, let us introduce you to schistosomiasis...
Hit by a stream of energy? Too moch mana is ust like too much radioactivity - perhaps all mages could develop cancer early if too powerful...”
“ The PCs traveling along the road/path/trail begin to hear a low droning sound. As they approach they find their path obstructed by hundred of thousands of droning insects. Locusts swarm though the air, feasting on the grass and plants. Passage will be slowed, but the insects pose no threat to the party, aside from being crunchy and disgusting underfoot, climbing into pouches and eating exposed food goods.”