When it comes to those in power, it's not enough to make do with public health professionals like everyone else: to those in the highest echelons of government, only a private physician will do... and in some cases, only one who can be exclusively employed to care for the head of state.

With this in mind, the Court Physician often commands considerable influence within the government, being entrusted with the personal safety of the ruler and the preservation of the governing body's deepest, most scandalous secrets. If the ruler has a family, the Court Physician's duties will often encompass their care and wellbeing as well. For this reason and many more, such doctors are also under immense pressure: should the head of state fall ill or even die, the physician may be blamed, either for failure or for outright treason - with hideous penalties in store.