In cultures and langauges with very few acceptable personal and family names, nicknames will be used. These nicknames will be based on their physical traits and personalities. So instead of five Ryon Khans, you have Big Ryon, Little Ryon, Fast Ryon, Ryon the Priest, and Ryon with coin. It will make finding people, for an outsider, difficult.

Want to avoid fighter types focusing on swords? Make Longswords and Bastardswords the weapon of the Noble class, with a death penalty for other to carry. These weapons will be ornate and finally crafted. Adventurers will be stuck with cheaply made broad and shortswords, while professional fighters might use two handed swords.

The accepted mode of getting otherwise unobtainable information is to go visit the cranky old hermit living in the mountains. It's just the sensible thing to do. So, naturally, everyone takes their monthly excursion to the hermit's hovel to consult him on everything, from lock-jaw to lovesickness, necromancers to nasal viruses.

Now, if everyone's always visiting the poor old hermit, there's going to be an enormous queue... "Wellcome to the Hermitt's Hovele, Please Take Ye a Number and Have Ye a Seate" reads the sign outside the packed dwelling.

Imagine the poor hermit, having retreated into the mountains to escape this precise situation...

The PCs are stuck in a town with a strict peace policy, the tiniest scuffle can land you years in prison. The town also happens to be a tourist haven, so inn-prices have skyrocketed. The only way the PCs can rest is if they splurge on a room, with their enemy.

It looks like a cook's book. It is a cook's book. It is also where the cook, who happened to be a master spy, encoded all his secrets and contacts. The book has innocently fallen into your group's hands. Everyone wants it, and many are not subtle or peaceful in their attempts.

If you want to add a "supernatural" touch to your campaign, define the rules of magic and the universe. Make your players comfortable with those rules. Then your new supernatural creatures must then break those rules.

The local temple is known for putting words of wisdom of stele, in and anround the temple. These words of wisdom are normally temple proverbs or wise words, but sometimes they are "singing the praises" of any large contributor or a noble who grants them a special law. If you need proverbs and quotes for them, search a few quote and proverb sites, concentrating on religions like the temples. Put these quotes in a word doc or list, that way you can always "whip out" a bit of wisdom.

War of the Roses as a campaign plot. Two noble lines converge somehow, each line thinks it has the rightful claim to the throne. Deciding this long ago was handled by some divine intervention, requiring both houses to come together at some point. They aren't so willing to get together this time. Civil war, or a new king?

No one is allowed to do harm to those of Highest/ Imperial rank, those of the Imperial household or those related within two steps of blood. The second tradition is an executioner must be of a higher rank than those he executes. This leads to "issues" when someone tries to harm a member of the Imperial clan or when these members are subversive. Such people are often killed by the being chained under a giant bell. They die within a day or so from the vibration, but they die untouched by Human hands.

The Church of the one true God guards a terrible secret: Their God is dying. He is kept within a tank, steamworks forever pumping to keep him alive, clockwork engines forcing his laboured breathing.

Sneezing Sickness - A strange plant infection that causes its victim to spread the plants seeds by sneezing them about. Larger lumps of phlegm or saliva sprout is spat out in a sunny place, producing more of the plants. As the Magical version of seasonaly allergies the affliction is limited in term and non-life threatening.

A Cloak of Shadows that causes mushrooms to grow in its own shadow. A crouching theif might find himself in a ring of poisonous toadstools, an interesting thing for a sentry to find after the thief has left hiding place.

The spellbook of a long dead wizard that has gained the ability to read itself and cast spells from itself. If could be amazingly powerful as an ally, or use its magic to manipulate and rule a kingdom.

The party wakes up in an inn around a table with wine goblets near at hand. They have forgotten all that happened the last day. As they seek to find the truth they come in contact with a man that gives them a job which pays quite nicely.
When they have finished with this rather dubious assignment they are invited to dinner by the the man...
Deja Wu?

The PCs are sent with a diplomat to another country to protect him and do his bidding. There may be some espionage, rescuing, downright bullying, etc. Could make a nice medieval, special operations background.

One of the PC's falls in love with a woman who happens to be a necromancer...perhaps she/he is allied with a group working against the PCs?

A caravan is traveling through the desert. The party is hired to capture a man who is in the caravan, and it must be done quietly, so that nobody else knows. They are given the man's name, and the fact that he is a mage, but no other information about him. The catch is that the caravan consists of ten wagons, with at least thirty or forty guards.

A lizard race that is basicly Good rather then Evil, is being attacked by evil humans that want control of their river.

A small, primitive village has yet to discover fire, which is a good thing because there are highly flammable (but not otherwise dangerous) gasses in the air. The heroes, blissful in their ignorance, don't know that and think it a wonderful idea to show the locals open flame.

Unbeknownest to the character, he is in the royal bllodline. Suddenly the majority of royals fall ill and die, and the hero is left with the crown, but no experience or idea of what to do.