| Term | History |
| 1 | Became a Physician at age 18 |
| 1 | Win a prestigious prize for your work. |
| 2 | Continued as Physician at age 22 |
| 2 | Assigned to work on a secret project for a patron or organisation. |
| 3 | Continued as Physician at age 26 |
| 3 | Gained a contact. |
| 3 | Promoted to rank 1 |
| 4 | Continued as Physician at age 30 |
| 4 | Advanced training in a specialist field. |
| 4 | Promoted to rank 2 |
| 5 | Voluntarily left Physician |
| 5 | Became a Barbarian at age 34 |
| 5 | Lightly injured, no permanent damage. Fully recovered. |
| 6 | Switched to Scavenger at age 38 |
| 6 | Severely injured. Fully recovered. Owe 20,000 for medical bills. |
| 7 | Became a Performer at age 42 |
| 7 | An investigation, tour, project or expedition goes wrong, stranding you far from home. |
| 8 | Returned to Barbarian at age 46 |
| 8 | run afoul of a criminal gang, corrupt bureaucrat or other foe. Gain an Enemy. |
| 9 | Became a Free Trader at age 50 |
| 9 | Imperial trade restrictions force you out of business. |
| 10 | Aging Crisis. Owe 50,000 for medical bills. |
| 10 | Retired at age 54 |
| 10 | Lightly injured, no permanent damage. Fully recovered. |
| 11 | Aging Crisis. Owe 50,000 for medical bills. |
| 11 | A romantic relationship deepens, possibly leading to marriage. Gain an Ally. |
| 12 | Aging Crisis. Owe 10,000 for medical bills. |
| 12 | Gained a contact. |
| 13 | Aging Crisis. Owe 20,000 for medical bills. |