It is worth thinking that Malia doesn't really want to cause death. She wants to cause suffering - prolonged, slow, agonising, avoidance of death. She usually fails - because most things die. Remember that she gave up on devastating plagues that kiled everything. They're not the way to go for maximum suffering.
Forgetting about chaos for a moment, my feeling is that she is trying to bring the underworld back to the world of the living - to merge the two so that the miseries and fear of darkness afflict the living. This is where Humakt and Daka Fal and all those "seperating life from death" guys get annoyed with her. You've got to be one thing (dead) or another (alive) in their philosophy. Malia is trying to do a half alive half dead thing.
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