Howard Dean caused millions of words to be spilled while most people still had no idea who he was.

During the battle the two caused millions of dollars in damages.

The violence in Syria has caused millions to flee their homes.

Smoking has been shown to cause millions of ear infections each year in children.

This can often cause millions of dollars in damage to local economies.

A failed space defense system caused millions to die in a nuclear disaster.

What caused millions of people to lift their voice in protest?

Flooding throughout the region caused millions of dollars in damage.

Violence can mean anything from one person hitting another to a war between many countries that causes millions of deaths.

Am I to accept the misery they have caused me and millions of others?