| Term | History |
| 1 | Became a Physician at age 18 |
| 1 | Severely injured. Owe 7,500 for medical bills. |
| 1 | Promoted to rank 1 |
| 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 | Win a prestigious prize for your work. |
| 5 | Continued as Physician at age 34 |
| 5 | Birth or Death involving a family member or close friend. |
| 6 | Continued as Physician at age 38 |
| 6 | Make a breakthrough in your field. |
| 6 | Forced to muster out. |
| 7 | Became a Wanderer at age 42 |
| 7 | Birth or Death involving a family member or close friend. |
| 7 | Promoted to rank 1 |
| 8 | Continued as Wanderer at age 46 |
| 8 | Attempted a risky adventure and was sent to prison. |
| 8 | Promoted to rank 2 |
| 9 | Aging Crisis. Owe 30,000 for medical bills. |
| 9 | Became a Inmate at age 50 |
| 9 | Accused of assaulting a prison guard. |
| 10 | Aging Crisis. Owe 20,000 for medical bills. |
| 10 | Switched to Fixer at age 54 |
| 10 | A guard takes a dislike to you. |
| 11 | Aging Crisis. Owe 40,000 for medical bills. |
| 11 | Returned to Inmate at age 58 |
| 11 | Offended a prison gang you tried to join. Gain an Enemy. |
| 12 | Aging Crisis. Owe 20,000 for medical bills. |
| 12 | Switched to Thug at age 62 |
| 12 | A guard takes a dislike to you. |
| 13 | Aging Crisis. Owe 20,000 for medical bills. |