This is a pre-order and the shirt will ship in early November

Hey! Remember the Famine shirt? You loved that shirt! Sony is back with another Horseman, and it looks sick! Like…really sick.

Celebrate Isaac’s 13th birthday - and the slow, steady, and inexorable approach of spooky season - with this awesome limited-edition Pestilence t-shirt, featuring gut-wrenching art by returning fan-favorite artist Sony_Shock (@Sony_Shock)!

You can also take Pestilence straight from the bowels of the caves to your Four Souls games with the stunning Alt-Art Pestilence promo card - included with all orders from MaestroMedia.com while stocks last.