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The Blademaster trait is upgradeable via grand tournament duels
And console
The Dr trait, is again upgradeable via console both for ruler And ur dr
do a search on reddit, they got all u need heres the one that does your ruler:
effect = { add_trait_xp = {trait = lifestyle_physician value=100}}
this page shows u all u need to know, scroll down to where they talk about using the console explorer
https://www.reddit.com/r/CrusaderKings/comments/13w4nue/console_command_how_to_add_trait_exp_for_leveled/
once u reach the right person u want to alter this will be the script to use:
effect character = { add_trait_xp = {trait = lifestyle_blademaster value=50}}
Blademaster improvements ARE few and far between outside of duels. Always have been I think.
The physician trait improves when they successfully treat somebody. With a larger and more attractive court you can search/invite for better physicians, and with the many chances for people to get wounded, ill, or catch a plague this usually goes up pretty fast in my games.
I'm not sure what, if anything, got revised, but that is still how they are currently working in my games. If I add "warriors by merit" as a tradition, it seems like every 4th or 5th guest is a level 1 or 2 blademaster, and a search/invite for knights draws one even more often.
Lets say, you find a 15-20 learning spouse that shows an aptitude of poor or average, as soon as they treat a patient, it will go up since they will get the physician trait.
Very easy to fill roles by assigning new spouses to courtiers that have whatever you're looking for. No available spouses? well, that's another discussion on you needing to manage your realm a lil better. Not gonna play the game for you.
Good Luck
By kingdom level I usually have good options, with a search/invite, with either mystic or physician; does it not work that way for you? I also usually have my court splendor pretty far up by then too. I don't run any mods that touch on either of those things.
They are of some different culture or religion most of the time, but boosting splendor seems to counteract that.
Add: Did some quick checking, and with a high enough learning (or the scholar trait) it looks like I get 4 possibles with and invite. That additional one this draw has physician 1 and herbalist. The other two are novices (19 & 10) and they mystic, while a BIG girl, is at 70. 2nd gen into the game, king, grandeur is jacked - costing me just under 8 gold a month.
Well, for me... It doesn't really matter about realm size unless you're attempting to find a noble. Matters about culture, religion and most importantly a courtiers opinion of you. IF I host a feast and up my court opinion with everyone, generally find spouses open up. Splendor relates to opinion in this instance. IF your whole court has a negative opinion (usually new ruler and have the short reign bonus going against you + any other modifiers) then it seems as if find spouse only works within court only.