| 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 | Make a breakthrough in your field. |
| 2 | Promoted to rank 1 |
| 3 | Voluntarily left Physician |
| 3 | Became a Scavenger at age 26 |
| 3 | Promoted to rank 1 |
| 4 | Continued as Scavenger at age 30 |
| 4 | A romantic relationship ends badly. Gain a Rival or Enemy. |
| 4 | Promoted to rank 2 |
| 5 | Continued as Scavenger at age 34 |
| 5 | Severely injured. Owe 5,000 for medical bills. |
| 6 | Became a Pirate at age 38 |
| 6 | Is now a Lackey |
| 6 | You commit a legendary crime. |
| 6 | Promoted to rank 1 |
| 6 | Is now a Henchman |
| 7 | Continued as Pirate at age 42 |
| 7 | Betrayed by a friend. One of your Contacts or Allies betrays you, ending your career. That Contact or Ally becomes a Rival or Enemy. |
| 8 | Aging Crisis. Owe 10,000 for medical bills. |
| 8 | Retired at age 46 |
| 8 | Birth or Death involving a family member or close friend. |
| 9 | Aging Crisis. Owe 40,000 for medical bills. |
| 9 | A new romantic starts. Gain an Ally. |
| 10 | Aging Crisis. Owe 30,000 for medical bills. |
| 10 | A romantic relationship ends badly. Gain a Rival or Enemy. |
| 11 | Aging Crisis. Owe 30,000 for medical bills. |
| 11 | Gained a contact. |
| 12 | Aging Crisis. Owe 10,000 for medical bills. |
| 12 | Birth or Death involving a family member or close friend. |
| 13 | Aging Crisis. Owe 60,000 for medical bills. |
| 13 | Gained a contact. |
| 14 | Aging Crisis. Owe 10,000 for medical bills. |
| 14 | A new romantic starts. Gain an Ally. |
| 15 | Aging Crisis. Owe 30,000 for medical bills. |