The conjunction of Pluto and the Midheaven makes career a field of power, transformation, and deep influence. The person rarely settles for a secondary role if they feel that someone else is managing the main process. It is important for them to affect the system, change the profession, authority, social status, and sometimes the very environment around them.
The aspect may appear in politics, management, finance, psychology, crisis fields, esoterics, investigations, medicine, work with resources and power. The native may be a hidden adviser, reformer, strong leader, a person who influences not directly, but far and for a long time.
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