| Term | History |
| 1 | Became a Courier at age 18 |
| 1 | Severely injured. Owe 10,000 for medical bills. |
| 2 | Became a Scavenger at age 22 |
| 2 | run afoul of a criminal gang, corrupt bureaucrat or other foe. Gain an Enemy. |
| 3 | Switched to Barbarian at age 26 |
| 3 | Betrayed by a friend. One of your Contacts or Allies betrays you, ending your career. That Contact or Ally becomes a Rival or Enemy. |
| 4 | Became a Physician at age 30 |
| 4 | Good fortune |
| 4 | Promoted to rank 1 |
| 5 | Continued as Physician at age 34 |
| 5 | Birth or Death involving a family member or close friend. |
| 5 | Promoted to rank 2 |
| 6 | Continued as Physician at age 38 |
| 6 | Advanced training in a specialist field. |
| 6 | Promoted to rank 3 |
| 7 | Aging Crisis. Owe 60,000 for medical bills. |
| 7 | Continued as Physician at age 42 |
| 7 | Entangled in a bureaucratic or legal morass that distracts you from your work. |
| 8 | Aging Crisis. Owe 40,000 for medical bills. |
| 8 | Continued as Physician at age 46 |
| 8 | Refused to perform research that goes against your conscience. |
| 9 | Aging Crisis. Owe 60,000 for medical bills. |
| 9 | Voluntarily left Physician |
| 9 | Retired at age 50 |
| 9 | Betrayal. Convert an Ally into a Rival or Enemy. |
| 10 | Aging Crisis. Owe 50,000 for medical bills. |
| 10 | Betrayal. Convert an Ally into a Rival or Enemy. |
| 11 | Aging Crisis. Owe 40,000 for medical bills. |