From Fallen London Wiki

Player Description: A bouncer and a vanquisher of minor menaces. One day, perhaps a hunter or a duellist...

Wiki note: While being a Tough you'll get an 250 CP increase in Dangerous every week with you payment. Note however that this only lasts until level 70

Unlocked with: Become a Tough

Weekly Payment: The Tough's reward

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The profession item has no documented uses.