| Term | History |
| 1 | Became a Enforcer at age 18 |
| 1 | Birth or Death involving a family member or close friend. |
| 1 | Promoted to rank 1 |
| 2 | Continued as Enforcer at age 22 |
| 2 | Crime pays off. Gain victim as Enemy. |
| 2 | Promoted to rank 2 |
| 3 | Continued as Enforcer at age 26 |
| 3 | Involved in a gambling ring. |
| 4 | Continued as Enforcer at age 30 |
| 4 | Involved in a feud with a rival criminal organization. |
| 4 | Injured. Fully recovered. Owe 2,500 for medical bills. |
| 4 | Forced to muster out. |
| 5 | Became a Physician at age 34 |
| 5 | Advanced training in a specialist field. |
| 6 | Continued as Physician at age 38 |
| 6 | Win a prestigious prize for your work. |
| 7 | Continued as Physician at age 42 |
| 7 | Advanced training in a specialist field. |
| 8 | Continued as Physician at age 46 |
| 8 | Advanced training in a specialist field. |
| 9 | Continued as Physician at age 50 |
| 9 | Entangled in a bureaucratic or legal morass that distracts you from your work. |
| 10 | Continued as Physician at age 54 |
| 10 | Good fortune |
| 11 | Continued as Physician at age 58 |
| 11 | Advanced training in a specialist field. |
| 11 | Promoted to rank 1 |
| 12 | Aging Crisis. Owe 20,000 for medical bills. |
| 12 | Continued as Physician at age 62 |
| 12 | Birth or Death involving a family member or close friend. |
| 12 | Promoted to rank 2 |
| 13 | Aging Crisis. Owe 50,000 for medical bills. |
| 13 | Continued as Physician at age 66 |
| 13 | Advanced training in a specialist field. |
| 13 | Forced to muster out. |
| 14 | Aging Crisis. Owe 10,000 for medical bills. |