| Term | History |
|---|
| 1 | Became a Physician at age 18 |
| 1 | Entangled in a bureaucratic or legal morass that distracts you from your work. |
| 1 | Promoted to rank 1 |
| 2 | Continued as Physician at age 22 |
| 2 | Refuse to join a cheat in some fashion. |
| 2 | Promoted to rank 2 |
| 3 | Continued as Physician at age 26 |
| 3 | Make a breakthrough in your field. |
| 3 | Promoted to rank 3 |
| 4 | Voluntarily left Physician |
| 4 | Became a Scavenger at age 30 |
| 4 | Attacked by enemies and injured. |
| 4 | Lightly injured, no permanent damage. Fully recovered. |
| 4 | Gain Enemy if you don't already have one. |
| 4 | Promoted to rank 1 |
| 5 | Continued as Scavenger at age 34 |
| 6 | Continued as Scavenger at age 38 |
| 6 | Accused of a crime |
| 6 | Promoted to rank 2 |
| 7 | Became a Thug at age 42 |
| 7 | Nearly killed. Owe 35,000 for medical bills. |
| 8 | Continued as Thug at age 46 |
| 8 | A guard takes a dislike to you. |
| 9 | Switched to Inmate at age 50 |
| 9 | Nearly killed. Fully recovered. Owe 30,000 for medical bills. |
| 10 | Returned to Thug at age 54 |
| 10 | Scarred. Fully recovered. Owe 10,000 for medical bills. |
| 11 | Aging Crisis. Owe 40,000 for medical bills. |
| 11 | Switched to Fixer at age 58 |
| 11 | Accused of assaulting a prison guard. |
| 12 | Aging Crisis. Owe 60,000 for medical bills. |
| 12 | Returned to Thug at age 62 |
| 12 | Hire a new lawyer. |
| 12 | Promoted to rank 1 |
| 13 | Aging Crisis. Owe 50,000 for medical bills. |