Ejecta, shock waves, fires, global cooling (Oh yeah, that), food chain collapse, I'm too far inland for a tsunami unless its a real whopper, changes in axial tilt and growing seasons, and if you're lucky you are either far away and ready for anything or get a direct hit.
60 psi of overpressure=99% fatalities, so shock waves can be killers, but above 15 psi, most of the buildings will be flying debris and that will be even more dangerous.