When a PC marks their last stress box, they suffer a level of trauma. When you take trauma, circle one of your trauma conditions like Cold, Reckless, Unstable, etc. They're all described in the next section.

When you suffer trauma, you're taken out of action. You're "left for dead" or otherwise dropped out of the current conflict, only to come back later, shaken and drained. When you return, you have zero stress and your vice has been satisfied for the next downtime.

Trauma conditions are permanent. Your character acquires the new personality quirk indicated by the condition, and can earn xp by using it to cause trouble. When you mark your fourth trauma condition, your character cannot continue as a daring scoundrel. You must retire them to a different life or send them to prison to take the fall for the crew's wanted level.