Your challenge, should you choose to accept it is to have as much damage and casualties as possible in the second world war, bonus if it exceeds 100 million or more. POD is after the Japanese invasion of China in 1937
 
1) Japan invades the USSR in 1941 or 1942 and uses WMDs on the Soviet Far East
2) The allies invade Japan in 1945-46 and are forced to defeat the Japanese overseas armies one at a time
3) After (2) comes to a close toward the end of 1947-early 1948, some sort of conflict between the Western Allies and USSR erupts in Europe; Allies are forced to plant the flag over Moscow and Vladivostok.
 
- Spain joins to Axis.
- Germany occupies Sweden. Germans have bit better strategy but Soviets still win, only just with higher cost.
- Japan invades USSR during beginning of Barbarossa.
- Make Italian army more competent so Allies lost more men and war will be more difficult.
- Some South American country joins to Axis, but probably this needs early POD.
- So Allies win WW2 in Europe but with higher cost.
- Japan not surrend after the bombs so Operation Downfall, which kills millions Japaneses.
 
Germany attempts sealion, which fails but only after use of mustard gas, Germany responds with nerve gas, all theatres see use of poison gas, British use anthrax and botulism on Germany. extensive use of rusts and plant diseases including in America's and Australia. Global famine, Japanese use small pox and anthrax in china.
 
War is prolonged, Russia collapses, America uses nukes on Germany. then Invades Japan, using nerve agents to depopulate area's ahead on invasions. War is fought to the bitter end. Mass civilian casualties in all area's worst in Europe, China and Japan. Russian collapse leads to 3 sided civil war. Most European states depopulated in fought over regions, civil unrest and starvation seen. India rebels and rebellion is crushed with great force, 2nd Indian mutiny, British use princely states to suppress rebellion.
 
Have the Nazis defeat the USSR (somehow) carry out generalplan ost to fullfilment while they are in a stalemate with the British that extends to the 1950s.

The Brits get nukes in 1950. But the Nazis have sarin. They duke it out until a stalemate. If the British dont produce enough nukes (like what happened to America in 1945) they are forced to surrender.
 
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