| Term | History |
| 1 | Became a Physician at age 18 |
| 1 | Make a breakthrough in your field. |
| 1 | Promoted to rank 1 |
| 2 | Continued as Physician at age 22 |
| 2 | Refuse to join a cheat in some fashion. |
| 3 | Continued as Physician at age 26 |
| 3 | Advanced training in a specialist field. |
| 4 | Continued as Physician at age 30 |
| 4 | A new romantic starts. Gain an Ally. |
| 4 | Promoted to rank 2 |
| 5 | Continued as Physician at age 34 |
| 5 | Accused of a crime |
| 5 | Promoted to rank 3 |
| 6 | Became a Fixer at age 38 |
| 6 | The warden takes an interest in your case. |
| 6 | Promoted to rank 1 |
| 6 | Paroled from prison. |
| 7 | Became a Barbarian at age 42 |
| 7 | Betrayed by a friend. One of your Contacts or Allies betrays you, ending your career. That Contact or Ally becomes a Rival or Enemy. |
| 8 | Became a Performer at age 46 |
| 8 | Public opinion turns on you. |
| 9 | Returned to Barbarian at age 50 |
| 9 | Lost eye or limb. Fully recovered. Owe 5,000 for medical bills. |
| 10 | Switched to Wanderer at age 54 |
| 10 | Attacked by enemies that you easily defeat. |
| 10 | Gain Enemy if you don't already have one. |
| 11 | Aging Crisis. Owe 40,000 for medical bills. |
| 11 | Continued as Wanderer at age 58 |
| 11 | You do not know what happened to you. There is a gap in your memory. |
| 12 | Aging Crisis. Owe 50,000 for medical bills. |
| 12 | Retired at age 62 |
| 12 | Betrayal. Convert an Ally into a Rival or Enemy. |
| 13 | Aging Crisis. Owe 50,000 for medical bills. |