Extreme changes of fortune.
No, because it means just what it seems to mean - either there is a lot of good things, or there is hardly anything. It is a cliche.
feast
Feast and Famine - 1914 was released on: USA: 8 July 1914
famine
Feast or abundance
Yes, at least idiomatically, there is either "feast or famine."The word feast (banquet) does not have any direct opposite, but as a verb it could also be to fast, to abstain, to diet, or more extemely to starve.
Martin - 1992 Feast or Famine 3-11 was released on: USA: 24 November 1994
Auction Packed - 2011 Feast or Famine 1-3 was released on: USA: 5 March 2011
Once and Again - 1999 Feast or Famine 2-4 was released on: USA: 21 November 2000
Once and Again - 1999 Feast or Famine 2-4 is rated/received certificates of: Argentina:13
Yukon Men - 2012 Feast or Famine 2-1 was released on: USA: 22 February 2013
Famine means: a drastic, widespread food shortage, causing severe hunger and starvation.