| Term | History |
|---|
| 1 | Became a Physician at age 18 |
| 1 | Advanced training in a specialist field. |
| 2 | Continued as Physician at age 22 |
| 2 | A romantic relationship deepens, possibly leading to marriage. Gain an Ally. |
| 2 | Promoted to rank 1 |
| 3 | Continued as Physician at age 26 |
| 3 | Win a prestigious prize for your work. |
| 3 | Promoted to rank 2 |
| 4 | Continued as Physician at age 30 |
| 4 | Work for an eccentric but brilliant mentor, who becomes an Ally. |
| 4 | Promoted to rank 3 |
| 5 | Continued as Physician at age 34 |
| 5 | Advanced training in a specialist field. |
| 5 | Promoted to rank 4 |
| 6 | Voluntarily left Physician |
| 6 | Became a Scavenger at age 38 |
| 6 | A romantic relationship ends badly. Gain a Rival or Enemy. |
| 6 | Promoted to rank 1 |
| 7 | Continued as Scavenger at age 42 |
| 7 | Offered job by a patron. Now owe him a favor. |
| 7 | Promoted to rank 2 |
| 8 | Became a Enforcer at age 46 |
| 8 | You spend months in the dangerous criminal underworld. |
| 8 | Promoted to rank 1 |
| 9 | Continued as Enforcer at age 50 |
| 9 | You spend months in the dangerous criminal underworld. |
| 9 | Promoted to rank 2 |
| 10 | Continued as Enforcer at age 54 |
| 10 | Involved in a gambling ring. |
| 10 | Promoted to rank 3 |
| 11 | Continued as Enforcer at age 58 |
| 11 | Injured. Fully recovered. Owe 2,500 for medical bills. |
| 12 | Aging Crisis. Owe 20,000 for medical bills. |
| 12 | Retired at age 62 |
| 12 | Betrayal. Convert an Ally into a Rival or Enemy. |
| 13 | Aging Crisis. Owe 40,000 for medical bills. |