The question being, if gods, magic and monsters exist and affect the world, just what does this mean?
I don't know my answer yet but my initial thoughts, for my medium-fantasy setting, are -
- Some disease is natural, most is supernatural. But actually what does this matter to the world, as they've not had, and may never have, Edward Jenner or John Snow?
- The intelligent (playable) races were created, although at what stage of progression I've not yet decided. Were the first mages / shaman living a stone age lifestyle, or later than that? I'm a bit vague on my Tolkien, but I think he had elves born into Middle Earth in quite an advanced stage.
- What's the dynamic between other intelligent races (here I'll include the less-smart humaniods, such as ogres), and monsters (here I'll include dragons, at the risk of offending). My thought is that the former compete with the playable races, in the same way that different races and realms compete. The latter are rare (although they need some way to come into contact with the adventurers) but not so rare that your sheep are safe.