From Dark City

Medicine Overview

New York stands apart in its healthcare ecosystem in that it’s also home to nineteen medical schools and one of the country's largest concentration of medical and research facilities, including the NYU Grossman School of Medicine and The College of Physicians and Surgeons at Columbia University.

As one of the most populous megacities in the world, New York has ample hospitals, research institutes, clinics and government offices, and is a powerful needle-mover in the growing biotechnology and medical research industry.

Theme and Society

Whether you're a paramedic or you sit on the Board at one of New York's 215 hospitals, you have, at the very least, a meaningful glimpse of the sheer size of the City's healthcare infrastructure. Whether it's getting residents enrolled in state-funded health insurance plans, administering emergency care, or a general practitioner conducting routine checkups, the demand for and the demand placed on the system is extensive. And like any other healthcare network in the country, it's also hobbled at the knees by corporate interests that skyrocket prices, and the persistent gremlin of extensive oversight on all the wrong areas, while critical sectors (like preventive care) go under-funded.

As with anything, it always comes down to a numbers game, and no matter how tightly you cling to your Hippocratic Oath, you might have to make some compromises elsewhere if you're going to stay the course.

Joining the Sphere

You can gain Medical status at character creation or play, but consider where you plan to begin and where you plan to end up. In a saturated region like New York, expediting a medical education is extremely unlikely, so consider that someone might be able to run the length from zero Status to Status 5 in the length of the chronicle is equally unlikely. Given the length of a medical education, if you don’t enter at least as a medical student, it may prove quite difficult to rise through the Status ranks.

If you plan to play in the sphere, though these are not requirements, consider the following:

  • Intelligence, Composure
  • Medicine, Science, Academics, Empathy, Persuasion
  • Specialty in a given medical field, such as (Trauma) or (Internal Medicine) or (First Aid).

Example Contacts and Allies in the Medical sphere might include:

  • Night Shift Nurses
  • Hospital Janitorial Staff
  • Medical Coders
  • Research Psychologists
  • First Year Residency Doctors
  • APRNs

Rules and System

Status has several functions. First, it can apply to a Social roll with those over whom you have some sway. Second, it can grant you access to relevant resources or facilities. Third, it can be used to block a single instance of Mentor, Resources, Retainer, Contacts, or Allies once per chapter if it's of a lower dot rating than your Status, and makes sense. But consider the drawback: Status requires maintenance, and you're expected to support your Status through patient care, and so on.

  • Status 1: Medical student, Nurse, Intern, PA
  • Status 2: Hospital Resident, General Practitioner
  • Status 3: Specialist Doctor, Medical Researcher, CMO
  • Status 4: Chief Physician or Chief of Surgery at a Hospital, Dean of a Medical School
  • Status 5: Health Care Executive, Chairman of a Hospital Board

Current Plots

Alphabet Interference

  • The federal government is throwing its weight around at the Medical Examiner's office.


  • All Storytellers participate in Civil Society plots. Any might be relevant to one, but if you're unsure, just open up a venue ticket for your character.