Q is more of a bored immortal, similar to the Greek Gods, than a sadist or mass murderer.
There was a comic in the DC run that had the Organians ultimately fighting the Excalbians, who had decided to conduct their "good vs. evil" experiment on a larger scale by causing hostilities between the Klingons and the Federation to escalate (IIRC). The two races carried their fight into a higher dimension, which is why the Organians were no longer around to enforce their treaty on the Klingon Empire and the Feds.
That's it, though - obviously the Q had done no cleaning, because these competing deities were around. Why wait, what, thirteen billion years before acting?
I never got the "Organians care about humans and Klingons" thing. The episode rather showed the exact opposite - the Organians couldn't care less, and wanted absolutely nothing to do with these two juvenile cultures. They went as far as giving an ear-burning (non-)corporal punishment to both before telling them to get out and stay out!
Timo Saloniemi
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