First time using your mod and I may have run into a bug or something.
I started with the really bad day challenge (and most of your suggested settings) and thought I had gotten really lucky with my initial spot. Right next to a grocery store with a few functional carts. Loaded up the food, looted a house and found some basic clothing and weapons. Then went north to look for a "safe" secluded spot. Well I ran into a whole gaggle of doom creatures. Reverants, Hell Knights, a Mancubus, Demons, Lost Souls and Imps..
For a lowly person hauling a shopping cart around and wearing random crap, the Reverant, hell knight and Mancubus seemed pretty rough.
I died horribly, started a new guy, happened to spawn in the same town and then died from a Mancubus. Figured I'd look em up on the wiki and it says there that they shouldn't be spawning early on. Thus this post.
Should a character just a few hours in be seeing Doom creatures?