| Term | History |
|---|
| 1 | Became a Physician at age 18 |
| 1 | Work for an eccentric but brilliant mentor, who becomes an Ally. |
| 2 | Continued as Physician at age 22 |
| 2 | Win a prestigious prize for your work. |
| 3 | Continued as Physician at age 26 |
| 3 | Advanced training in a specialist field. |
| 4 | Continued as Physician at age 30 |
| 4 | Refused to perform research that goes against your conscience. |
| 4 | Promoted to rank 1 |
| 5 | Continued as Physician at age 34 |
| 5 | Advanced training in a specialist field. |
| 5 | Promoted to rank 2 |
| 6 | Continued as Physician at age 38 |
| 6 | Refuse to join a cheat in some fashion. |
| 6 | Promoted to rank 3 |
| 7 | Continued as Physician at age 42 |
| 7 | Win a prestigious prize for your work. |
| 7 | Forced to muster out. |
| 8 | Became a Line/Crew at age 46 |
| 8 | Is now a Crewman |
| 8 | Refuse to abuse your position for profit |
| 8 | Commissioned in Navy/Line/Crew |
| 8 | Is now a Ensign |
| 9 | Continued as Line/Crew at age 50 |
| 9 | Betrayal. Convert an Ally into a Rival or Enemy. |
| 9 | Promoted to Line/Crew officer rank 2 |
| 9 | Is now a Sublieutenant |
| 10 | Aging Crisis. Owe 40,000 for medical bills. |
| 10 | Continued as Line/Crew at age 54 |
| 10 | You foil an attempted crime on board, such as mutiny, sabotage, smuggling or conspiracy. Gain an Enemy. |
| 10 | Promoted to Line/Crew officer rank 3 |
| 10 | Is now a Lieutenant |
| 11 | Aging Crisis. Owe 60,000 for medical bills. |