Has anyone updated the actual plague? It originally said Initial Damage 1Dex and 1Str, Secondary Damage 1d3 Con.
If not here's what I'm initially thinking (I have a high xp group).
A failed Resilience check (difficulty varies based on level of campaign) means Wound Threshold reduced by number of failures, Strain Threshold reduced by number of threats. Despair reduces Brawn and/or Agility characteristic by 1.
I know folks have done the Tempest spice, and will be looking around for that next.
BTW, I think the Tempest Feud link in the Resources thread that's pinned no longer works?