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Prior to Ultima IX, he was expelled to Paws (a slum for untouchables) according mayor Aidon's policy. However, being a cripple, Joe had learned how to use his cane as a weapon, a secret he was willing to share with the Avatar for a small donation.
Later, when mayor Aidon came to Paws in search of his daughter Meribeth, he was attacked by a giant rat, but was saved by Joe, who killed the rat with his cane. Being saved by the very same cripple his policies had declared undesirable, in part, lead Aidon to change his attitude about the poor and sick.