A century ago, the death of Aroden transformed the culture and politics of the Inner Sea nations. In the distant north in a land once known as Sarkoris, it changed the world itself, knocking Golarion out of metaphysical alignment in the direction of the Abyss, a nightmare realm in the Great Beyond, screaming with wicked souls and vicious demons. While many attribute the Worldwound to the machinations of Deskari, the Lord of the Locust Host, in truth another ancient demon lord was long established in Sarkoris.
Tsar, the great temple-city to the Demon Prince of the Undead, stood for centuries as a bastion of evil and hate. Foul beings of all kinds flocked to its mighty walls and found succor and purpose within. At its heart stood the great Citadel of Orcus, the black heart of Orcus worship on Golarion. Countless evils were perpetuated in those corrupt precincts, and equally countless wicked plots were hatched and carried out therein. Far from the reaches of civilization, Tsar flourished unchecked like a great blight on the land.
When the Worldwound erupted, Sarkoris was destroyed nearly overnight. As word of Sarkoris's swift and dramatic fall spread, the church of Iomedae was equally swift to react. Still reeling from the loss of their deity's patron, an obvious threat like a demonic incursion was precisely the thing that the Iomedaean faithful needed to stave off true despair—her champions and priests threw themselves into the crusade against the Worldwound with an almost reckless abandon, not only to blunt their own horror at Aroden's death, but also because they believed it was their responsibility to pacify Sarkoris and seal the Worldwound.
To this end, the leaders of Iomedae's church and those of several other religions decreed the First Mendevian Crusade, as well as the three that followed. Zealous followers of the Inheritor from throughout Avistan still travel up the Sellen River to Mendev in an attempt to support the crusaders. The first efforts to pacify the Worldwound met with considerable success: the demonic hosts were driven back and the crusaders stood sentinel over the land.
Then, the crusaders turned their attentions to the long-standing city of Tsar. This crusader army, raised from all nations and almost every non-evil faith marched for Tsar. In command of this army the church of Iomedae placed the archmage Zelkor. Supported by innumerable knight commanders, wizards, church patriarchs and scores of heroes of renown, Zelkor quickly advanced his army from its staging ground of Nerosyan, through Tsar's outermost defensive positions and into the great plain that surrounded the temple-city itself. Flush with their many quick victories, the First Crusade suddenly found arrayed against itself seemingly endless legions of every sort of vile warrior-race and fell outsider imaginable called up from all over the multiverse and lining the battlements and fields before their redoubt—one of the greatest fortresses and citadels ever erected in that time. The beginnings of doubt seeped into the ranks of the First Crusade.
However, hope was not lost as the heavens opened up and flight upon flight of angels and celestial beings descended from on high to swell the ranks of the Crusade. With grim determination in both camps, battle was joined on the plain before the gates of Tsar. The war raged for over a year, the Crusade advancing to the very foot of the walls and then being pushed back by a new surge of demonic power. The disciples of Orcus led by the Grand Cornu, Orcus's single highest-ranking priest on Golarion, threw every vile attack they could at the Crusade in defense of their city. Rains of horrific fire and acid fell from the skies or belched from fissures in the ground, great constructs crushed their foes before them, terrible clouds of poisonous gas choked entire regiments, and heretofore unknown plagues swept through the troops causing thousands of horrible deaths among the Crusade. Nevertheless the forces of the crusade persevered and fought on.
Finally, though the battle seemed no closer to victory, the fates seemed to smile on the Crusade. Unexpectedly the city fell. In a single night in 4638 AR the entire city virtually emptied of defenders as they all were magically transported to a point several miles outside the city's walls, complete with baggage train and mounts for many. The magical expenditure necessary to complete this miraculous maneuver cost the Grand Cornu his very life in sacrifice to Orcus, but the legions of the demon prince had broken free from the Army of Light's cordon. They immediately took flight before the stunned Mendevian Crusade, heading northeast towards the Worldwound.
Zelkor and his fellow commanders were immediately suspicious of this sudden retreat but could not afford to allow the combined followers of Orcus concentrated in one place to escape and spread their insidious evil again. Then, still with a seed of doubt niggling in his mind, Zelkor ordered his army in pursuit of the fleeing legions. The armies reached northern crusader city of Drezen, which formerly stood within the borders of Mendev. The malign, almost sentient chaos of the Worldwound, however, was not content to stay within its carefully proscribed borders. In an opportunistic counterstroke, the demon-hordes within the Worldwound overwhelmed its guardians and protective enchantments, flowing forth like a black tide. The city of Drezen, caught between the forces of Orcus and the Worldwound, fell under the influence of the Abyss. The combined force turned back upon the armies of the First Crusade. Tens of thousands of pilgrims and warriors drowned in the demonic wave that followed, depleting the armies of Mendev and necessitating the Second Mendevian Crusade.