“ Patterns in surnames: There are many ways a surname could have evolved over centuries. One possibility is migration. A Roman name may have traveled to France and hence to England where it was later Anglicized. Case in point - the surname Lawrence went from Laurentius (Roman) to Laurent (French) to Lawrence (English) and then to Lowry (Scottish). There is also natural etymological evolution. For example, a Middle English spelling may have evolved to a modern English spelling (e.g. Stiward to Stewart). Where did your character's Surname come from?”
“ After a long night of reveling and merriment celebrating their latest victory, one of the PCs awakens with his/her head shaved and a large ornate tattoo on top of their head. Tacky, yes but also a painstaking work of art that has left them with a headache to beat their hangover. The kicker? It is a huge symbol of the god of Evil, Assassins, the Drow, Munchkins, something really really offensive”
“ Pick up a pathology/microbiology book, and add the diseases/syndroms to your game. Your players will freak out.
Coughed at? Diphteria. or tuberculosis?
Drunk from a muddy stream? Or just walked through? Well, let us introduce you to schistosomiasis...
Hit by a stream of energy? Too moch mana is ust like too much radioactivity - perhaps all mages could develop cancer early if too powerful...”