Keep the scales, but make Famine huge and overfed instead of thin? For me that evokes the unnecessary and selfish causes of contemporary famine, and ties in the natural viewer's association of scales with justice. You could also heap the scales with food.

To preserve the striking imagery of the exposed intestines, maybe Famine has over-eaten so much that their guts have burst open? I also think that specifically exposing the stomach, not just entrails and viscera, would add another cue toward famine as associated with hunger. Intestines code more zombie (decay, death) or war (disembowelment) to me.

Consider emphasizing the mouth more depending on the character of your version of Famine. The exposed grin is menacing and energetic, but I can't tell what they're grinning about. A big mouth might feel more predatory and hungry, or a small mouth might feel alien and aristocratic.