as an (american-born) IMG at a pretty decent program, i'll say that from what i'm being told about this year's interview season, it IS more competitive for sure.
i think the biggest weakness in your record is the lack of US LORs.....however, like others said, if you can land a few interviews, you might be able to present a side of you which shows you can integrate into a US program easily. your good USMLE scores will help you get interviews maybe, but on the interview, it's all a level playing field relating to WHO you are and how much you like/love Pathology.
did you apply to eras? how many programs? what type of programs?
cheers
rirriri