“ 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?”
“ Diseased people, (leprosy or any other such fear inducing disease) when traveling, will often times wear a cloak that entirely covers their body and ring a bell as they travel, used as a warning for any others to stay away. Could be used for a disguise or safe passage. ... you meet strangely cloaked people, sometimes ringing a bell. 'Please give us something to eat, mighty heroes!' This is time to show how good they are.”
“ The city was cursed many years ago. Since then it has not stopped raining. The gutters are inhabited by eels and the doors are on the first floor, coated with pitch. On a bad day, you can see the water level rise above the ground floor windows. Carts have both wheels and bladders filled with air to keep them afloat. And yet everyone is surprisingly dry.”