“ 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...”
“ Near a major city, a mirror image of the place has appeared. This strange double is infested with hostile insectoid humanoids that appear to match the city folk in numbers and armaments. The humans' diviners have determined that the secret of the city's appearance can be found within the double's college of magic, so heroes are needed to explore within this mirror city and discover what has drawn it from its distant realm. There isn't much time to spare, as the bug folk find their mammalian counterparts unnatural and blasphemous, and plan to destroy them.”
“ Want to avoid fighter types focusing on swords? Make Longswords and Bastardswords the weapon of the Noble class, with a death penalty for other to carry. These weapons will be ornate and finally crafted. Adventurers will be stuck with cheaply made broad and shortswords, while professional fighters might use two handed swords.”