| Term | History |
|---|
| 1 | Became a Physician at age 18 |
| 1 | Assigned to work on a secret project for a patron or organisation. |
| 1 | Promoted to rank 1 |
| 2 | Continued as Physician at age 22 |
| 2 | Refuse to join a cheat in some fashion. |
| 2 | Forced to continue current assignment |
| 2 | Promoted to rank 2 |
| 3 | Continued as Physician at age 26 |
| 3 | Win a prestigious prize for your work. |
| 3 | Promoted to rank 3 |
| 4 | Continued as Physician at age 30 |
| 4 | Refuse to join a cheat in some fashion. |
| 4 | Promoted to rank 4 |
| 5 | Continued as Physician at age 34 |
| 5 | An expedition or voyage goes wrong, leaving you stranded in the wilderness. |
| 5 | Promoted to rank 5 |
| 6 | Continued as Physician at age 38 |
| 6 | Entangled in a bureaucratic or legal morass that distracts you from your work. |
| 6 | Promoted to rank 6 |
| 7 | Continued as Physician at age 42 |
| 7 | Entangled in a bureaucratic or legal morass that distracts you from your work. |
| 7 | Promoted to rank 7 |
| 8 | Aging Crisis. Owe 40,000 for medical bills. |
| 8 | Continued as Physician at age 46 |
| 8 | Moved to a new world. |
| 8 | Forced to muster out. |
| 9 | Retired at age 50 |
| 9 | Victim of a crime |
| 10 | Aging Crisis. Owe 40,000 for medical bills. |
| 10 | Moved to a new world. |
| 11 | Aging Crisis. Owe 50,000 for medical bills. |
| 11 | A romantic relationship ends badly. Gain a Rival or Enemy. |
| 12 | Aging Crisis. Owe 40,000 for medical bills. |
| 12 | A new romantic starts. Gain an Ally. |
| 13 | Aging Crisis. Owe 50,000 for medical bills. |
| 13 | Betrayal. Convert an Ally into a Rival or Enemy. |
| 14 | Aging Crisis. Owe 20,000 for medical bills. |
| 14 | Betrayal. Convert an Ally into a Rival or Enemy. |
| 15 | Aging Crisis. Owe 50,000 for medical bills. |