“ City, group, religion; every time a significant event happens to the city/person a new name will be given to signify the event. Could add the names to previous ones like a list of titles or could just be completely changed every time.”
“ A terrible affliction spreads through the land: A disease, highly contagious, which makes its victims mildly ill, but then permanently paralyzes the vocal cords. Dozens of reputed cures and protections are sold in the marketplaces, which gradually grow quieter and quieter...”
“ 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?”